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F0656
D

Failure to Develop Care Plan for Rash

Monterey, California Survey Completed on 12-23-2025

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

The facility failed to develop a care plan to address the treatment of a rash for one of five residents. The resident was admitted with diagnoses including neuropathy and chronic obstructive pulmonary disease (COPD). A Change of Condition Note documented that the resident had fragile skin and an erythematous maculopapular rash scattered over the trunk, back, and all extremities. Review of the resident's care plans showed there was no care plan in place to address the rash. During an interview, the DON confirmed the absence of a care plan for the rash. The facility's policy requires comprehensive, person-centered care plans to include measurable objectives and timeframes for identified problem areas, but this was not followed in this case.

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