Failure to Develop Baseline Care Plan Within 48 Hours of Admission
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 ensure that a baseline care plan was developed within 48 hours of admission for one of three residents reviewed. According to the facility's policy, a baseline care plan should be created and implemented within 48 hours to provide effective and person-centered care. In the case reviewed, a resident with multiple diagnoses, including cauda equina syndrome and chronic obstructive pulmonary disease, was admitted and the baseline care plan was not completed and signed by an RN until four days after admission. The Director of Nursing confirmed that the RN did not lock the initial baseline care plan in the medical record until four days post-admission, instead of within the required 48-hour timeframe.