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
F0842
B

Incomplete Medical Record and Missing Physician Order for Bolster Pillow

Anaheim, California Survey Completed on 06-20-2025

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 ensure that the medical record for one resident was accurate and complete regarding the use of bilateral bolster pillows. The resident, who was unable to make medical decisions, had a care plan intervention for bilateral bolster pillows following an unwitnessed fall from bed. However, the medical record review revealed that the informed consent form for the bolster pillow was not signed by the provider who obtained the consent, and there was no physician's order for the use of the bolster pillow documented in the resident's records. During interviews and concurrent medical record reviews, both an LVN and the DON confirmed that a bolster pillow required both a signed consent from the resident or representative and a physician's order, neither of which were present in this case. The facility's policy on informed consent also specified that the healthcare professional proposing the intervention is responsible for providing information and obtaining proper consent, which was not followed in this instance.

An unhandled error has occurred. Reload 🗙