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F0657
D

Failure to Develop Care Plan for Resident Refusing Care

New City, New York Survey Completed on 12-10-2025

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

A deficiency was identified when the facility failed to develop and implement a comprehensive, person-centered care plan for a resident known to refuse care and exhibit non-compliant behaviors. The resident, who had diagnoses including Hepatic Encephalopathy, Essential Hypertension, and Osteoarthritis, was cognitively intact and required significant assistance with daily activities. Nursing progress notes documented three separate occasions where the resident refused care, yet a care plan addressing these refusal behaviors and non-compliance was not initiated or documented. Interviews with facility staff, including an LPN, the DON, and an RN, confirmed that the resident's refusal and non-compliance behaviors were known but not reflected in the care plan. Staff acknowledged that such behaviors should have been captured in a behavior or refusal of care care plan, but this was not done. The facility's policy requires that care plans include measurable objectives and timeframes to address identified needs, but this was not followed for the resident in question.

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