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F0684
D

Failure to Perform Daily Weights for Resident with CHF

Woodstock, Illinois Survey Completed on 06-04-2025

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 ensure that a resident with a diagnosis of congestive heart failure (CHF) received daily weights as ordered by the physician. The resident's medical record included an active order for daily weights starting on 5/5/25, with instructions to notify the healthcare provider if there was an increase of more than two pounds, specifically to monitor for edema. However, documentation showed that weights were only recorded on three occasions during May 2025, rather than daily as ordered. Observation on 6/2/25 revealed the resident had visible edema in both legs, and the facility was unable to provide additional weight records for the month. A registered nurse confirmed that daily weights are necessary for residents with CHF to monitor for fluid overload.

See complete original report
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