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F0655
D

Failure to Complete Baseline Care Plan Within 48 Hours of Admission

Great Falls, Montana Survey Completed on 06-19-2025

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 develop and implement a baseline care plan within 48 hours of admission for one resident, as required by facility policy. The resident was admitted with impaired cognition, dementia, anxiety, frequent pain, and displayed behaviors including depression and anxiety, all of which required prompt and individualized care planning. Despite these needs, the baseline care plan was not initiated until eight days after admission and was finalized several days later. Staff interviewed were unaware of the delay or the reasons for not completing the care plan within the required timeframe. The facility's policy specifies that the admitting licensed staff must complete the nursing assessment and baseline care plan upon admission and provide a copy to the resident within 48 hours.

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