Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0655
D

Failure to Develop and Communicate Baseline Care Plan for Resident with Behavioral Issues

Brooklyn, New York Survey Completed on 10-08-2025

Penalty

Fine: $159,515
tooltip icon
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 baseline care plan within 48 hours of admission for a resident with a history of aggressive and paranoid behavior. Despite the resident being admitted with diagnoses including dementia and a documented chief complaint of aggression and paranoia, the baseline care plan did not address these behavioral concerns. There was also no evidence that the resident or their representative received a summary of the baseline care plan, as required by facility policy. Multiple staff interviews confirmed that the baseline care plan was either incomplete or not provided to the family, and that behavioral issues were not addressed because staff did not perceive them at the time of admission. As a result of these omissions, the resident physically assaulted another resident with a wheelchair footrest, leading to the second resident's hospitalization and subsequent death. Documentation and interviews revealed that the facility's process for reviewing admission documents, completing assessments, and distributing care plan summaries was not consistently followed. The lack of a comprehensive, person-centered baseline care plan and failure to communicate it to the resident and their family directly contributed to the incident.

An unhandled error has occurred. Reload 🗙