Failure to Provide and Prevent Pressure Ulcer Care
Penalty
Summary
The facility failed to provide appropriate care for pressure ulcers and did not implement effective measures to prevent the development of new ulcers. This deficiency was identified through observations and record reviews that indicated lapses in pressure ulcer management and prevention protocols. The report notes that the facility did not consistently follow established procedures for monitoring, treating, and documenting pressure ulcers, which contributed to the occurrence and progression of these wounds among residents. There is no mention of specific residents, their medical histories, or the exact circumstances of the pressure ulcer development, but the deficiency centers on the facility's failure to adhere to required standards for pressure ulcer care and prevention.