Failure to Provide and Prevent Pressure Ulcer Care
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 provide appropriate care for pressure ulcers and did not implement effective measures to prevent the development of new ulcers. Surveyors observed that necessary interventions to manage existing pressure ulcers were not consistently provided, and preventive practices such as regular repositioning, skin assessments, or use of pressure-relieving devices were not adequately documented or performed. This resulted in residents being at risk for worsening of existing ulcers and the development of new pressure injuries.