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F0657
D

Missed Quarterly Review of Comprehensive Care Plan

North Hills, California Survey Completed on 06-19-2025

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 conduct a quarterly review of a resident's comprehensive care plan as required. The resident in question was originally admitted with diagnoses including muscle weakness, schizophrenia, and type 2 diabetes mellitus, and was noted to have impaired cognitive skills and required assistance with daily activities such as oral hygiene, toileting, and personal hygiene. Review of the resident's records showed that the last Interdisciplinary Team (IDT) care planning meeting was conducted in March, and there was no evidence of a required quarterly review in December. During an interview and record review, the Registered Nurse Supervisor confirmed that the quarterly IDT care plan meeting was missed and acknowledged that facility policy requires such reviews to evaluate and revise care plans as needed. The facility's policy also states that the comprehensive care plan must be reviewed and revised by the IDT after each assessment, including quarterly reviews. The absence of this review could result in the resident's needs not being identified or met, as stated by the RN Supervisor.

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