Failure to Update Facility-Wide Assessment for Resource Needs
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 update and document a comprehensive facility-wide assessment to determine the necessary resources for competent resident care during both routine operations and emergencies. The facility census was 55 at the time of review. The only updated portion of the facility assessment as of 10/01/25 was the first page, which contained contact and licensing information, while the remainder of the assessment available for review was from 05/01/23 and contained outdated resident information. During an interview, the administrator acknowledged that the facility assessment had not been updated since his tenure began, citing other priorities, and confirmed that only the first page was updated after the annual survey had started.