Failure to Initiate Baseline Care Plan for Pressure Ulcer
Penalty
Fine: $20,670
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 complete a baseline care plan within 48 hours of admission for a resident with a Stage 3 pressure ulcer. The resident, who was admitted with multiple sclerosis and a Stage 3 pressure ulcer, did not have a baseline care plan addressing wound care needs documented in the care plan review. Observations confirmed the presence of the pressure ulcer, and staff interviews acknowledged that a care plan focused on the wound should have been initiated upon admission but was not completed. Record review and staff statements confirmed the absence of a timely baseline care plan for the resident's pressure ulcer.