Lack of Required Clinical Assessment Policies
Penalty
Summary
The facility administrator failed to ensure the effective and efficient use of facility resources to attain or maintain the highest practicable well-being of each resident, as evidenced by the inability to provide requested facility policies during an abbreviated survey. Specifically, the DON stated there were no documented facility policies for Braden scale assessments, skin observation, admission assessments, or Minimum Data Set (MDS) assessments. The DON indicated that the absence of these policies was a corporate issue and acknowledged the lack of documentation. The administrator reportedly informed the DON that not every process in the facility required a policy. These findings were based on record review and interviews conducted during the survey.