Incomplete Facility-Wide Assessment of Resident Care Needs and Resources
Penalty
Summary
The facility failed to conduct and document a comprehensive facility-wide assessment to determine the necessary resources required to care for its resident population during both routine operations and emergencies. The assessment, last reviewed on April 30, 2025, was found to be incomplete after the first page and did not accurately identify the specific needs and services required by the various subsets and characteristics of the residents. Additionally, the assessment lacked an evaluation of the overall number of staff and the capabilities needed to ensure a sufficient and competent workforce to meet each resident's needs. During an interview, the Administrator confirmed that the facility assessment did not contain all required information.