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F0677
D

Failure to Provide Required Meal Assistance to Cognitively Impaired Resident

Hagerstown, Maryland Survey Completed on 05-14-2025

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

A deficiency was identified when a resident with severely impaired cognition, as documented in the Minimum Data Set (MDS), did not consistently receive the required assistance with meals. The resident's medical record indicated a need for set up or clean up help during meals. However, a review of geriatric nurse aides' (GNAs) activity of daily living (ADL) documentation revealed missing records of meal assistance for multiple shifts over a three-month period. Specifically, there was no documentation of meal assistance for 4 shifts in November, 9 shifts in December, and 8 shifts in January. The director of nursing confirmed the lack of documentation during an interview.

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