Failure to Provide and Complete Advance Directive Information
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 inform and provide written information to a resident or the resident's representative regarding the right to formulate an advance directive. Record review showed that a resident with severe morbid obesity, type 2 diabetes mellitus, unspecified lack of coordination, generalized muscle weakness, left shoulder pain, and unspecified osteoarthritis was admitted and had an Advance Directive Acknowledgment Form in the admission packet. However, the form was incomplete, with no options selected. During an interview, the Social Services staff confirmed that the Advance Directive Acknowledgment Form for this resident was not completed as required.