Failure to Include Diuretic Use in Comprehensive 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 provide a comprehensive care plan addressing the use of high-risk medications for one resident who had a physician's order for daily diuretic therapy. Clinical document review showed that the resident had diagnoses including cancer, diabetes mellitus, and hyperlipidemia, and was receiving Furosemide 20 mg daily. However, the resident's care plan, last revised on 5/21/25, did not include any documentation regarding the use of diuretics. Staff interview with the DON confirmed that diuretic use should have been included in the care plan. Facility policy requires ongoing assessment and revision of care plans as resident conditions change, but this was not followed for the resident in question.