Inaccurate Elopement Risk Assessment for Resident with Dementia
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 ensure the accuracy of an elopement risk assessment for one resident. Clinical record review showed that the resident was admitted with diagnoses including dementia, muscle weakness, and major depressive disorder. Despite documentation in the care plan indicating impaired cognitive function due to dementia, the elopement evaluation inaccurately coded the resident as not cognitively impaired and not at risk for elopement. Staff interview confirmed that elopement assessments should consider the resident's decision-making ability and any relevant diagnoses or behaviors, which was not reflected in the assessment reviewed.