Failure to Provide Baseline Care Plan Summaries Upon 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 provide a written summary of the baseline care plan and order summary to two residents and/or their representatives within 48 hours of admission, as required by facility policy. Specifically, the clinical records for one resident with diabetes and hypertension, and another resident with diabetes, paraplegia, and hypertension, did not contain evidence that these documents were given to the residents or their representatives. This deficiency was confirmed by a registered nurse who acknowledged the absence of documentation in the clinical records for both residents.