Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
The deficiency involves the facility’s failure to provide treatment and care according to physician orders and in alignment with residents’ preferences and goals. Surveyors, through observation, interview, and record review, identified that this failure rose to the level of Immediate Jeopardy beginning on 01/23/26. The issues were cited under F684, indicating noncompliance with requirements to ensure that residents receive necessary care and services as ordered and consistent with their individual goals and preferences. The deficiency was associated with complaints #2727145 and #2728765 and was initially determined to be at the immediate and serious jeopardy level J during an abbreviated survey. The Administrator was notified of the Immediate Jeopardy on 01/29/26 at 5:29 P.M., and the situation was later reassessed, with the severity of the deficiency ultimately lowered to a D level at the time of survey exit. The report does not provide specific clinical details about individual residents, their diagnoses, or the exact nature of the orders or preferences that were not followed, but it clearly attributes the cited noncompliance to failures in delivering care and treatment as ordered and as aligned with residents’ stated goals and preferences.
