Lack of Involvement in Facility Assessment Development
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 its facility-wide assessment included active involvement from direct care staff, residents, and residents' representatives in its development. Review of the facility assessment revealed that a resident, a resident representative, and direct care staff—including an RN, LPN, and CNA—were not included in the assessment process. During an interview, the administrator confirmed there was no documentation showing participation from these individuals in the development of the assessment.