Failure to Report Bruise of Unknown Origin
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 report a bruise of unknown origin for one resident who was on anticoagulant medication and had moderate cognitive impairment. The resident was admitted with diagnoses including heart failure and pain, and had physician orders for weekly skin checks and anticoagulant administration. On a specified date, a nurse was notified of a long, dark bruise on the underside of the resident's right breast, but the resident was unable to explain how the bruise occurred and did not complain of pain. There was no documentation indicating that staff notified the State Agency about the bruise. Staff confirmed that a risk management report was initiated, but the incident was not reported to the State Agency as required.