Failure to Provide Baseline Care Plan Summary Upon 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 provide a written summary of the baseline care plan to a resident and/or the resident's representative within 48 hours of admission. Review of the clinical record showed that the resident was admitted on May 30, 2025, but there was no documented evidence that the baseline care plan, including physician orders, dietary orders, and social service goals, was given to the resident or their representative. The resident's representative confirmed in an interview that they did not receive a copy of the baseline care plan after admission. Further requests for documentation from facility staff, including the Infection Control Nurse and the Director of Nursing, did not yield any evidence that the required summary was provided.