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F0657
D

Failure to Complete Quarterly Care Conferences

Middletown, Ohio Survey Completed on 07-31-2025

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 ensure that care conferences were completed quarterly for a resident with multiple diagnoses, including dysphagia, chronic obstructive pulmonary disease, major depressive disorder, and seizures. The resident, who was cognitively impaired, had only one care conference documented since admission, despite facility policy requiring care conferences to be scheduled after admission, routinely, and with any change in condition. This was confirmed through record review and an interview with the DON, who verified that only one care conference had been completed for the resident during their stay.

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