Facility Assessment Lacked Contingency and Staffing Plans
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 update its facility-wide assessment to include a contingency plan and strategies for maximizing direct care staff recruitment and retention. Review of the facility's assessment document, last updated on 04/25/2025, showed that it did not contain documentation of these required elements. During an interview, the Administrator confirmed that the contingency plan and staff recruitment and retention plans were not referenced in the most recent assessment.