Failure to Update Facility Assessment and Staffing Plan After Unit Reopening
Penalty
7 days payment denial
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 its facility-wide assessment and staffing plan after reopening a previously closed unit, 2 South, which was now being utilized and had residents assigned to rooms. Observations over several days confirmed that all units, including 2 South, were in use. However, the most recent facility assessment still indicated that 2 South was not being staffed due to census, and there was no documentation of a revised staffing plan for this unit. The assessment's section for review and update after significant changes had not been initialed or dated to reflect the reopening and active use of 2 South. The Administrator acknowledged that the assessment had not been updated to include the staffing plan for the reopened unit.