Failure to Include Repositioning Bars in Care Plan
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 implement a comprehensive care plan addressing the use of repositioning bars for a resident with moderate cognitive impairment. Record review showed that the facility's policy requires positioning rails to be used only when clinically indicated. The resident was observed with two bed canes on the bed, but there was no documentation in the care plan regarding their use. The resident was unaware of the reason for the bed canes and stated they were present upon admission. The Assistant Director of Nursing confirmed that the care plan did not include the use of bed canes, despite their presence and the resident's assessed needs.