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F0656
D

Failure to Develop Care Plan for Hand Splint Use

Erie, Pennsylvania Survey Completed on 04-25-2025

Penalty

No penalty information released
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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 develop a comprehensive care plan addressing the use of a resting hand splint/palm roll splint for one resident. The resident, who had diagnoses including diabetes, paraplegia, and hypertension, was admitted with orders and therapy recommendations for the use of a hand splint to manage contractures. Despite a therapy discharge summary and physician's order specifying the use of the splint for set periods each day, a review of the resident's care plans showed no evidence that a care plan was created for this intervention. The Therapy Director confirmed during an interview that the care plan for the splint was missing and acknowledged that it should have been developed.

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