Incomplete Documentation of Resident Daily Weights
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 maintain a complete and accurate medical record for one of three sampled residents. Specifically, review of the resident's clinical record showed that daily weights were not documented on several dates in October and November 2025, as required by the Treatment Administration Record (TAR). This lack of documentation was confirmed during an interview with the Clinical Lead. The findings were subsequently reviewed with facility leadership during the exit conference. No additional information about the resident's medical history or condition at the time of the deficiency was provided in the report.