Facility Assessment Lacked Required Input and Census Documentation
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 comprehensive facility-wide assessment that included active participation from direct care staff, such as a Registered Nurse (RN), Licensed Practical Nurse (LPN), and Certified Nursing Assistant (CNA), as well as a resident and resident representatives. The assessment also did not document the current number of residents in the facility at the time it was completed. These omissions were confirmed through review of the facility assessment and an interview with the administrator, who acknowledged that the required individuals were not involved in the assessment's development and that the average daily census was not included.