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F0578
D

Incomplete Advance Directive Documentation for DNRCC-A Status

Rittman, Ohio Survey Completed on 05-27-2025

Penalty

32 days payment denial
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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 ensure that a resident's advance directive orders and information were accurate and complete throughout the medical record. Specifically, a resident with diagnoses including Alzheimer's Disease, bipolar disorder, and post-traumatic stress disorder was admitted with a physician's order for Do Not Resuscitate Comfort Care Arrest (DNRCC-A) status. However, review of the hard medical chart revealed that the DNRCC-A order was unsigned by a physician and only contained the resident's name. The plan of care and physician's orders both indicated DNRCC-A status, but the required documentation was incomplete. The Director of Nursing confirmed that the DNRCC-A form lacked a physician's signature, contrary to facility policy supporting residents' rights regarding treatment and advance directives.

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