Failure to Develop Comprehensive Fall Prevention Care Plan
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 a comprehensive care plan was developed for fall interventions for a resident. During observations and interviews, it was noted that the resident had a fall mat on the left side of the bed, the bed positioned against the right wall, and the bed in a low position. Staff confirmed these interventions were in place, but there was no physician order for the floor mats, and bed positioning was not typically ordered but was supposed to be included in the care plan. At the time of review, these interventions had not been documented in the resident's care plan, indicating a lack of comprehensive planning for fall prevention as required.