Failure to Follow and Complete Resident Care Plans
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 follow the comprehensive person-centered care plans for two residents. For one resident with diabetes, heart failure, and a history of CVA with left side hemiplegia and weakness, a CNA was observed transferring the resident from a wheelchair to bed using a sit-to-stand device with only one staff member, despite the care plan and physician orders requiring a two-person assist for transfers. For another resident with dementia and PTSD, the care plan did not include any interventions addressing the PTSD diagnosis. The Director of Nursing confirmed that the transfer was not performed according to the care plan and that the PTSD diagnosis should have been included in the care plan.