Failure to Update Care Plans for Significant Changes in Resident Status
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 ensure that care plans were revised to reflect significant changes in the conditions of two residents. For one resident, a physician's order indicated admission to hospice care for dementia, but the care plan did not document the resident's hospice status, as confirmed by the MDS coordinator. For another resident, medical records showed a diagnosis of gastro-esophageal reflux disease and a 14% weight loss over two months, yet the care plan lacked documentation or interventions addressing the weight loss. The MDS coordinator acknowledged that the care plan had not been updated to reflect this change.