Failure to Address Mental and Psychosocial Needs in Baseline Care Plan
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 include a resident's mental and psychosocial needs in the Baseline Care Plan within 48 hours of admission, as required by facility policy. Specifically, for one resident with multiple diagnoses including spina bifida, anxiety, major depression, and PTSD, the Baseline Care Plan did not address cognition, focus, goal, or intervention related to these mental health conditions. Clinical record review showed that these areas were left unanswered, and staff interviews confirmed that the resident's mental health diagnoses should have been included but were omitted.