Failure to Complete Baseline Care Plans Within 48 Hours of Admission
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to develop a baseline care plan within 48 hours of admission for two residents, as required by its own policy. For one resident with diagnoses including schizophrenia, anxiety disorder, and neuroleptic induced parkinsonism, there was no documentation of a baseline care plan in the medical record. Similarly, another resident admitted with low back pain, a right leg fracture, altered mental status, diabetes, and opioid dependence also did not have a baseline care plan documented. The Director of Nursing confirmed that baseline care plans were not completed for these residents.