Failure to Conduct and Document Facility-Wide Assessment
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 conduct and document a facility-wide assessment to determine the necessary resources for competent resident care during both routine operations and emergencies. Record review showed that the last facility assessment was completed on 06/25/2024. During an interview, the DON, a corporate RN, and a manager confirmed that no subsequent facility assessment had been performed or documented since that date. No information about specific residents, their medical history, or their condition at the time of the deficiency was provided in the report.