Incomplete Care Plan for Hospice Resident with Stomatitis
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 maintain a complete and accurate care plan for one resident who was admitted under hospice care with diagnoses of malignant neoplasm of the brain and lung. The resident's treatment included the use of oral inhalers, with instructions to rinse her mouth after each dose to prevent complications. Despite the resident's refusal to rinse her mouth after inhaler use, which subsequently led to the development of stomatitis as documented by the physician, the care plan did not address the stomatitis or the resident's ongoing refusal to perform oral rinses. This omission was identified through clinical record review and staff interview.