Failure to Provide Adequate Pressure Ulcer Care and Prevention
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 provide appropriate pressure ulcer care and prevent the development of new ulcers. This deficiency was identified through surveyor observations and review of care practices, indicating that residents did not consistently receive the necessary interventions to manage existing pressure ulcers or to prevent new ones from forming. The report notes lapses in the implementation of pressure ulcer prevention protocols and inadequate monitoring of residents at risk for skin breakdown.