Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0842
D

Failure to Document Resident Altercation and Care Plan Updates

Sturgeon Bay, Wisconsin Survey Completed on 07-02-2025

Penalty

No penalty information released
tooltip icon
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 that medical records contained accurate and complete documentation for two residents following an altercation. On the date in question, a certified nursing assistant observed one resident in a wheelchair hitting another resident, who was in bed, on the legs. The incident was reported to the state agency, and subsequent actions included a nurse assessing the resident for injuries, notification of both residents' representatives, and informing local law enforcement and the physician. However, neither resident's medical record included documentation of the altercation, the interventions used to deescalate the situation, physical and psychosocial assessments, or notifications to representatives. Additionally, it was unclear whether care plans were reviewed or revised, as handwritten changes lacked dates and staff initials. Both residents involved had severe cognitive impairment, as indicated by their Brief Interview for Mental Status (BIMS) scores and diagnoses of Alzheimer's dementia and memory impairment. The lack of documentation extended to the care plans, which contained undated and unsigned handwritten interventions and changes. The nursing home administrator confirmed that the medical records did not contain documentation of the incident and was unable to verify if care plans had been reviewed or updated due to the absence of clear revision dates.

An unhandled error has occurred. Reload 🗙