Care Plan Not Updated to Reflect Physician's Order for Swallowing Precautions
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 revise the care plan for one resident to accurately reflect the current physician's order and the resident's needs. The resident, who had a history of stroke, high blood pressure, and difficulty swallowing, was admitted with a physician's order specifying 'No straws.' Despite this, a concern was raised by the resident's representative that the resident was still being given thin water through a straw. Review of the resident's care plan showed that the intervention 'No straws' was not included, and this omission was confirmed by the Assistant Director of Nursing during an interview. The facility's policy requires that care plans be updated as residents' conditions or orders change, but this was not done in this case.