Failure to Update Care Plan for Anticoagulation Therapy
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 review and revise the care plan for a resident receiving anticoagulation therapy, as required by facility policy and regulatory standards. Record review showed that the resident had a physician's order for daily Coumadin and the admission Minimum Data Set (MDS) identified anticoagulant use. Despite this, the resident's current care plan did not include any problems, goals, or interventions related to anticoagulation therapy. This omission was confirmed by an administrative nurse during staff interview, who acknowledged that the care plan had not been updated to reflect the resident's current status.