Failure to Care Plan for Anticoagulant Therapy
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 develop and implement a comprehensive, person-centered care plan for one resident who had a history of deep vein thrombosis and was receiving anticoagulant therapy with Apixaban. The resident was admitted with diagnoses including anoxic brain damage, cardiac arrest due to another underlying condition, and a personal history of venous thrombosis and embolism. Despite having intact cognition as indicated by a BIMS score of 15, the resident's care plan did not address the ongoing anticoagulant therapy. This omission was confirmed through interviews with facility staff, who acknowledged that anticoagulant therapy should have been included in the resident's care plan.