Failure to Timely Review and Revise Wound Care Interventions in Care Plan
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 review and revise a resident's wound care interventions as required. A resident with a stage 3 pressure ulcer on the ankle, identified on 4/4/25, did not have the wound properly documented in the care plan until 5/29/25, despite the wound being present and later noted as healed on 5/23/25. The wound care nurse acknowledged that the care plan should specify the staging of the wound and differentiate between actual and at-risk skin impairments, but the care plan initially lacked this information. When the care plan was reviewed by the surveyor on the morning of 5/29, it did not include the stage 3 pressure ulcer or a history of the impairment, and the goal for wound care was not specified.