Failure to Develop Baseline Care Plan for Resident with Arm Cast
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 develop a baseline care plan within 48 hours of admission for a resident who was admitted with a left arm cast. Review of the resident's progress notes confirmed the presence of the cast at admission, but no care plan addressing the cast was found in the clinical record. During an interview and record review, the DON confirmed the absence of a care plan for the resident's left arm cast. The facility's policy requires a baseline plan of care to be developed within 48 hours to address immediate health and safety needs, but this was not completed for the resident in question.