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F0692
D

Failure to Perform Daily Weights for Resident with Malnutrition

San Rafael, California Survey Completed on 05-16-2025

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 with diagnoses of dysphagia and severe protein-calorie malnutrition was weighed daily as ordered by the physician. The resident's order summary specified daily weights with instructions to notify the physician of significant weight changes. However, a review of the resident's weight records revealed that 69 daily weights were missing over a period of several months. The registered dietician confirmed the missing weights and noted that the resident had significant weight loss and should have been weighed every day. The facility's policy required resident weights to be monitored and recorded at intervals established by the interdisciplinary team, but this was not followed in this case.

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