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F0684
D

Failure to Provide Ordered Feeding Assistance and Weekly Weights

Milpitas, California Survey Completed on 06-27-2025

Penalty

Fine: $12,73529 days payment denial
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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

Resident 15, who had a history of insidious weight loss since October 2023, was admitted to the facility and had physician orders for one-to-one feeding assistance with all meals starting on 2/13/24 and weekly weights every Tuesday starting on 5/21/24. Despite these orders, documentation showed that the resident was only weighed about once a month rather than weekly, and multiple observations revealed that the resident was eating meals independently without the required one-to-one feeding assistance. The interim director of nursing confirmed that the resident should have received weekly weights and one-to-one feeding assistance as ordered, but these services were not provided as required.

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