Failure to Complete Baseline Care Plan Within 48 Hours of Admission
Penalty
Summary
The facility failed to develop and implement a baseline care plan within 48 hours of admission for one resident. Record review on 1/8/26 at 11:30 AM showed that this resident was admitted on 10/13/25, but the baseline care plan was not completed and signed until 10/28/25, which exceeded the required 48-hour timeframe. The baseline care plan is described in the report as a document that outlines how to provide care for a new nursing home resident, created within 48 hours of admission to reduce the risk of adverse events and ensure the resident receives quality care. This delay in completing the baseline care plan was confirmed by the resident’s representative. During an interview on 1/8/25 at 12:23 PM, the DON acknowledged that baseline care plans are required to be completed and signed within 48 hours of admission and that a copy must be provided to the resident or their representative, thereby confirming that the facility did not meet this requirement for the identified resident.
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