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F0825
D

Failure to Provide Ordered Physical Therapy Services

Baltimore, Maryland Survey Completed on 06-13-2025

Penalty

No penalty information released
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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 provide adequate physical therapy services to a resident as required by physician orders. A review of the resident's medical record showed that the resident was ordered to receive physical therapy 5 to 7 times per week during a specified recertification period. However, documentation revealed that the resident only received 3 sessions in one week, 4 sessions the following week, and just 1 session in the final week of the period reviewed. These findings were confirmed through review of therapy notes and interviews with facility staff, including the DON and a physical therapist. The deficiency was identified after a confidential complaint was reported to the state agency, alleging that the resident did not receive physical therapy as ordered and needed. The facility was unable to provide documentation showing that the ordered frequency of therapy was met during the review period.

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