Failure to Review and Maintain Advance Directive Documentation
Penalty
Summary
The facility failed to provide assistance with completing advance directives and obtaining and maintaining Durable Power of Attorney (DPOA) documentation for one resident. The resident was admitted to the facility, was alert and oriented, and had a Living Will and Do Not Resuscitate (DNR) order documented in their social history assessment. However, a review of the resident's electronic record revealed there was no documentation that the advance directive had been reviewed on a quarterly basis as required. During an interview, the Social Services Director confirmed that advance directives are supposed to be reviewed quarterly and annually during care conferences, but could not locate any additional information regarding the resident's advance directive.