Failure to Develop Baseline Care Plan for New Admission
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 and implement a baseline care plan within 48 hours of admission for one resident, as required by its own policy. The resident was admitted with multiple complex medical conditions, including a left femur fracture, severe protein-calorie malnutrition, and a flaccid neuropathic bladder, and had a new nasogastric tube and a Foley catheter in place. Review of the clinical record showed that while assessments were completed for the Foley catheter, the baseline care plan did not include the resident's catheter or nasogastric tube. This omission was confirmed by the Registered Nurse Assessment Coordinator during an interview.