Failure to Maintain Updated Guardianship Documentation
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 ensure that an updated guardianship letter for one resident was readily available in the medical records and accessible to staff. Review of the resident's guardianship letter showed it had expired, and there was no documentation in the electronic health record (EHR) indicating that the facility had attempted to obtain or upload an updated guardianship letter. During an interview and joint record review, the Administrator confirmed that the guardianship letter was expired, acknowledged that there was no current documentation in the EHR, and stated that new paperwork should be present for the resident.