Failure to Educate and Offer Advance Directives to Residents
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 ensure that residents were educated about and offered the opportunity to create an advance directive, as required. Record review for five sampled residents revealed that no advance directive information had been provided or documented in their electronic health records. The Director of Nursing (DON) confirmed that, prior to March, the facility's practice was to only ask residents about advance directives and document a Do Not Resuscitate (DNR) order in the chart if one existed, rather than completing an advance directive acknowledgement form for all residents. This resulted in multiple residents not having documented evidence of being informed about or offered the opportunity to establish an advance directive.