Failure to Update Care Plans Following Changes in Diet and Medication Orders
Penalty
No penalty information released
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 update and maintain accurate care plans for two residents following changes in their clinical status and physician orders. For one resident, the care plan did not reflect the current prescribed diet, as the physician ordered a regular, pureed texture with nectar thickened fluids, but the care plan listed a regular, mechanically altered ground texture with nectar thickened liquids. For another resident with an anxiety disorder, the care plan continued to indicate the use of anti-anxiety medication, even though there was no current physician order for such medication. The MDS Coordinator confirmed that the care plan was not updated to reflect the resident's current medication status.