Failure to Develop Care Plan for Anticoagulant Use
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 develop a comprehensive care plan addressing the use of anticoagulant medication for one resident. Clinical record review showed that the resident had an active physician's order for Eliquis, an anticoagulant, and both annual and quarterly MDS assessments documented the resident's use of this medication. However, the resident's care plans did not include any information regarding anticoagulant use, nor did they address associated risks such as bleeding and bruising or outline measures for prevention of potential complications. These findings were confirmed through interviews with the DON, Nursing Home Administrator, Assistant DON, and Assistant Nursing Home Administrator.