Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0697
D

Failure to Document Pain Assessments and Non-Pharmacological Interventions

Indianapolis, Indiana Survey Completed on 04-04-2025

Penalty

No penalty information released
tooltip icon
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 provide safe and appropriate pain management for a resident with significant medical conditions, including cerebral infarction, aphasia, and hemiplegia. The resident was nonverbal and unable to request pain medication independently. Physician orders were in place to monitor pain every shift and to administer oxycodone as needed for moderate to severe pain, and acetaminophen as needed for mild pain. The care plan included the use of non-pharmacological interventions and required pain assessments upon admission, quarterly, with significant changes, and as needed. However, the clinical record did not document the use of non-pharmacological interventions, nor did it consistently record pain levels prior to the administration of as-needed pain medication. Medication Administration Records (MAR) and Controlled Drug Administration Records showed that oxycodone was administered multiple times, but there was a lack of documentation regarding the resident's pain level before administration and the effectiveness of the medication after administration, except for a few instances. There was also no documentation that acetaminophen was ever administered. The care plan interventions, such as repositioning, diversional activities, and other non-pharmacological measures, were not documented as being attempted prior to administering narcotic pain medication. Interviews with the resident's family member and nursing staff revealed that the family had requested scheduled pain medication due to the resident's inability to verbalize pain, and had observed nonverbal signs of pain such as lip biting, grimacing, and tensing up. The staff indicated they relied on family input and observation of facial expressions to assess pain. Despite these observations and requests, the facility did not document the required pain assessments or non-pharmacological interventions, leading to a deficiency in pain management practices for the resident.

An unhandled error has occurred. Reload 🗙