Failure to Update Care Plan After Resident Burn Incident
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 update and revise a resident's care plan to address a new safety concern after the resident, who is a functional quadriplegic, accidentally spilled hot coffee on their right lateral thigh, resulting in a second-degree burn. The resident had previously been able to handle their own coffee cup independently. Despite this incident, a review of the resident's current care plan showed that it did not address the new potential safety risk associated with the resident independently handling hot beverages. The Director of Nursing Services confirmed in an interview that the care plan had not been updated to reflect this safety issue.