Failure to Assess and Document Pressure Ulcers
Penalty
Fine: $47,51420 days payment denial
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 provide appropriate treatment and services to promote healing and prevent pressure ulcers for one resident. According to the facility's Skin and Wound Management Policy, staff were required to provide ongoing monitoring and evaluation for residents with wounds or at risk for skin compromise. Clinical records showed that the resident, who had a diagnosis including muscle weakness, developed new open areas on the sacrum. However, weekly skin assessments did not contain evidence that staff adequately assessed or measured these areas. Interviews with the Director of Nursing confirmed that staff did not perform or document complete weekly assessments and measurements of the resident's open areas as required.