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F0578
D

Inconsistent Documentation of Code Status Orders

Saegertown, Pennsylvania Survey Completed on 04-17-2025

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 ensure that a resident's code status was consistently documented across all relevant medical records. Specifically, a physician's order indicated the resident was Full Code, while the POLST form documented the resident as Do Not Resuscitate (DNR). The resident's care plan further indicated the POLST was Full Code, creating conflicting information regarding the resident's wishes for life-sustaining treatment. The Director of Nursing confirmed the discrepancy between the physician's order and the POLST, acknowledging that both documents should be identical to accurately reflect the resident's wishes. The facility's policy requires that code status be clearly documented and communicated in all designated sections of the medical record, but this was not followed for the resident, who had multiple diagnoses including dementia, diabetes mellitus, gout, and polyneuropathy.

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