Failure to Provide Baseline Care Plan Summary to Resident
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 ensure that a resident was provided with a summary of their baseline care plan, including a list of medications, within 48 hours of admission. Record review showed that although a baseline care plan was completed, there was no evidence, such as signatures or documentation, indicating that the resident had reviewed or received the summary. Interviews with the social worker confirmed that the facility's process was to document this in a progress note, but no such note was found in the resident's file. Both the Director of Nursing and the administrator were made aware of the lack of documentation and provision of the baseline care plan summary.