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F0677
D

Failure to Provide Consistent Oral Care Assistance

Pt Orchard, Washington Survey Completed on 04-28-2025

Penalty

No penalty information released
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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

Staff failed to provide consistent assistance with activities of daily living (ADLs), specifically oral care, for one resident who was dependent on staff for most ADLs. The resident, who had diagnoses including diabetes, obstructive and reflux uropathy, and depression, reported that staff were inconsistent in providing oral care. The resident's care plan required oral care in the morning, after meals, and at bedtime with substantial dependent assistance. A certified nursing assistant confirmed that oral care was not provided to the resident over the past few days due to lack of time and short staffing. The Director of Nursing Services stated that the expectation was for oral care to be provided on both day and evening shifts.

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