Failure to Complete Baseline Care Plan Within 48 Hours of Admission
Penalty
Summary
The facility failed to develop a baseline care plan within 48 hours of admission for one resident. The facility’s policy on Care Plans – Baseline, dated December 2016, required that a baseline care plan be developed within 48 hours of a resident’s admission to ensure the resident’s immediate care needs are met and maintained. Record review showed that the resident was admitted on an identified date, but the baseline care plan for this resident was not initiated until 01/12/26, which was more than 48 hours after admission. During interviews, the DON stated that it was her expectation that the resident’s baseline care plan should have been completed on 01/11/26, and the Administrator stated that it was her expectation that residents’ baseline care plans be completed within 48 hours of admission. This deficiency was identified for 1 of 1 resident reviewed for baseline care plans and was based on record review of the resident’s face sheet and baseline care plan, as well as staff interviews confirming that the facility did not meet its own policy requirement for timely completion of the baseline care plan.
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