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
F0620
D

Failure to Explain and Obtain Signature for Admission Agreement at Admission

Santa Monica, California Survey Completed on 08-21-2025

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 explain and obtain a signature for the admission agreement at the time of admission for one resident, as required by its policy and procedures. The resident, an elderly female with multiple complex medical conditions including ventricular fibrillation, morbid obesity, diabetes, asthma, congestive heart failure, vascular dementia, and a pressure ulcer, was admitted without the proper completion of the admission agreement. The Minimum Data Set assessment indicated that the resident did not have intact cognition and was dependent on staff for toileting, personal hygiene, and transfers. Documentation and interviews revealed that the resident's family member did not receive the admission packet until several weeks after admission, despite being present at the facility daily. The family member sent questions regarding the admission agreement via email, but did not receive timely responses from the admissions coordinators. The facility's policy requires that the admission agreement, which outlines covered and non-covered services and payment responsibilities, be explained and signed at admission, but this process was not followed, resulting in a lack of clarity regarding the services provided and covered by the facility versus the resident's insurance.

An unhandled error has occurred. Reload 🗙