Failure to Notify Physician of Significant Weight Changes
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 ensure timely physician supervision of care for one resident with multiple diagnoses, including polyneuropathy, congestive heart failure, and cirrhosis of the liver. The resident's care plan required staff to report weight changes to the physician due to altered cardiovascular status. Clinical records showed significant weight increases over two consecutive months, with a 28.7 lb. gain followed by a 20.5 lb. gain. There was no documented evidence that these significant weight changes were reported to or reviewed by the physician. Staff interviews confirmed that the physician was unaware of the resident's weight changes.