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F0656
D

Failure to Develop Care Plan for Diabetes Management and Insulin Pump

Green Springs, Ohio Survey Completed on 08-27-2025

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 a care plan addressing the medical needs of a resident with type I diabetes mellitus (DM), including the use of insulin and management of an insulin pump. Medical record review showed that although the resident had physician orders for insulin administration via pump, there was no corresponding care plan for diabetes management or insulin pump care. Interviews with the resident and staff revealed that the resident experienced episodes of low blood sugar, for which staff provided snacks, but there was no documentation of these events or orders for monitoring. Both the registered nurse and the director of nursing confirmed the absence of a care plan for the resident's type I DM and insulin pump management.

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