Failure to Offer Advance Directive to Cognitively Intact Resident
Penalty
Fine: $10,905
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 an advance directive was offered to a resident who was cognitively intact, as evidenced by a BIMS score of 15 on a quarterly assessment. The resident had diagnoses including neurogenic bladder and quadriplegia. Review of the clinical record revealed there was no documentation or acknowledgement indicating the resident had been offered the opportunity to develop an advance directive. When requested, the Director of Nursing was unable to provide an advance directive acknowledgement for this resident, and none was provided by the end of the survey.