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
F0686
D

Failure to Implement Pressure Ulcer Prevention Interventions

Pasadena, California Survey Completed on 06-05-2025

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 implement necessary interventions to prevent pressure ulcers for a resident identified as being at very high risk. Specifically, the resident, who had a history of hemiplegia, hemiparesis, muscle wasting, and was dependent on staff for most activities of daily living, was found to have a low air loss (LAL) mattress set at 350 pounds, despite their actual weight being 144.4 pounds. This incorrect setting was not in accordance with the physician's order, which required the mattress to be set according to the resident's weight and monitored daily. Staff interviews confirmed that an improperly set mattress could be too hard and increase the risk of pressure ulcer development. Additionally, the resident's medical record did not contain a care plan addressing their risk for pressure ulcer development, despite assessments indicating a very high risk and facility policy requiring individualized care plans for such risks. The Director of Nursing confirmed the absence of a care plan and acknowledged that one should have been in place to guide staff interventions. Facility policies reviewed also emphasized the need for appropriate support surfaces and comprehensive care planning for residents at risk of skin breakdown, which were not followed in this case.

An unhandled error has occurred. Reload 🗙