Failure to Document Meal Intake Percentages for Resident with Weight Loss
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 accurately document the percentage of meal intake for one resident who was reviewed for weight loss. During a review of the resident's electronic medical record, it was found that the percentage of meals consumed was not documented for multiple meals across several months, including both breakfast and lunch on specific dates. This lack of documentation was confirmed during an interview with the Director of Nursing, who acknowledged the missing meal intake records.