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
F0655
D

Failure to Develop Baseline Care Plan for Pressure Injury Prevention

Bryn Mawr, Pennsylvania Survey Completed on 04-10-2025

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 develop a baseline care plan with appropriate interventions to prevent pressure injury or trauma for a resident diagnosed with diabetes and other significant health conditions. Upon admission, the resident was assessed as cognitively impaired, with fluctuating inattention and disorganized thinking, bilateral lower extremity impairment, wheelchair dependence, incontinence, and substantial assistance required for hygiene and bed mobility. The resident's diagnoses included a progressive neurological condition, hypertension, diabetes mellitus, cerebrovascular accident, dementia, malnutrition, Parkinson's disease, and a psychotic disorder. The resident had experienced significant recent weight loss and was identified as being at risk for developing pressure ulcers, as indicated by the Braden assessment and clinical evaluation. Despite these findings, the clinical record did not contain a care plan addressing the resident's risk for pressure ulcers or interventions to prevent skin breakdown, particularly in light of the resident's uncontrolled diabetes, decreased bed mobility, and substantial weight loss. Although the MDS assessment indicated that skin and ulcer treatments were in place, such as pressure-reducing devices for the chair and bed, there was no evidence of a turning/repositioning program or application of dressings to the feet at the time of admission. The absence of a baseline care plan within the first 48 hours of admission was not in accordance with the facility's policy and regulatory requirements.

An unhandled error has occurred. Reload 🗙