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F0656
D

Failure to Develop Comprehensive Care Plans for Residents with Complex Medical Needs

Wilmington, Delaware Survey Completed on 08-13-2025

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 develop comprehensive, person-centered care plans for two residents with specific medical needs. One resident, admitted with a history of stroke, dysphagia, and a gastrostomy, had a care plan that did not include approaches for managing potential complications such as gastrostomy tube blockage and dislodgment. This omission was confirmed by the Assistant Director of Nursing upon review. Another resident, admitted with lupus and chronic pain, had care plans addressing pain and opioid use but lacked evidence of non-pharmacological interventions for pain management. These deficiencies were acknowledged by facility leadership during interviews and the exit conference.

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