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F0657
D

Failure to Update Care Plan After Resident Transfer

Lansing, Michigan Survey Completed on 08-06-2025

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 update and revise the individualized, person-centered care plan for one resident following a significant change in the resident's care environment. The resident, who had severe cognitive impairment with a BIMs score of 1 out of 15 and diagnoses including dementia, anxiety, and depression, was observed resting in bed on the 300-unit hall with a perimeter mattress and bilateral fall mats. Despite being moved from the secure dementia unit (100-unit hall) to the 300-unit hall on July 17th, the resident's care plan continued to state that the resident resided on the secure care unit for a therapeutic environment related to dementia. This discrepancy was identified during a survey through observation, interview, and record review. The LPN managing the 300-hall unit confirmed that the care plan had not been updated to reflect the resident's new location and care needs, despite the facility's policy requiring comprehensive, person-centered care plans to be developed, implemented, and revised as needed. The failure to update the care plan resulted in the potential for unmet care needs for the resident.

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