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 Baseline Care Plan for Resident with PTSD

Burlington, North Carolina Survey Completed on 11-18-2025

Penalty

No penalty information released
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 a baseline care plan addressing the immediate needs of a resident with a diagnosis of post-traumatic stress disorder (PTSD) within 48 hours of admission. Documentation from the resident's previous facility and the FL2 form both indicated a diagnosis of PTSD, and physician orders included medication for this condition. However, the baseline care plan completed by the MDS Nurse did not include any goals or interventions related to PTSD or associated behaviors. Interviews with staff revealed that the omission was due to either lack of awareness of the diagnosis or waiting for additional information regarding trauma history and triggers from the discharging facility. Staff interviews further indicated that the expectation was for PTSD and related behaviors to be included in the baseline care plan, but this was not done. The DON was not aware of the resident's PTSD diagnosis at the time of admission and expected to be notified of such diagnoses and related information. The MDS Nurses acknowledged that PTSD and its associated behaviors should have been addressed in the baseline care plan, but this was not completed due to incomplete information at the time of admission.

An unhandled error has occurred. Reload 🗙