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F0655
D

Failure to Include C-PAP Use in Baseline Care Plan

Richmond, Virginia Survey Completed on 10-29-2025

Penalty

No penalty information released
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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

Facility staff failed to develop a baseline care plan addressing the use of a C-PAP machine for one resident within 48 hours of admission. The resident was admitted with a diagnosis that included sleep apnea and was documented as cognitively intact and oriented. The admission assessment and nurse's notes confirmed the resident's use of a C-PAP machine, and the device was observed in the resident's room. However, review of the baseline care plan did not show any documentation regarding the C-PAP use. Staff interviews confirmed that the purpose of the care plan is to ensure all staff are informed about the resident's care needs, and that the C-PAP should have been included. Administrative staff were made aware of the omission during the survey, but no additional information was provided prior to the survey team's exit.

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