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F0578
E

Failure to Offer and Document Advance Directive Information

Hyattsville, Maryland Survey Completed on 04-29-2025

Penalty

Fine: $117,715
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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 ensure that four residents were offered information regarding Advance Directives, as required. During a record review, it was found that there was neither an Advance Directive nor documentation indicating that information about Advance Directives had been offered to these residents in their electronic medical records. When the surveyor inquired about the missing documentation, a staff member acknowledged that an audit had been started to identify residents needing Advance Directives and that outreach to residents and responsible parties had begun, but this process had not been performed consistently. The absence of both the Advance Directives and documentation of having offered the information was confirmed for the four residents reviewed.

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