F0657

D

Failure to Timely Review and Revise Comprehensive Care Plans for Two Residents

Corry, Pennsylvania Survey Completed on 02-06-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to review and revise comprehensive, person-centered care plans within required timeframes for two residents. Facility policy dated 12/2/25 states that a comprehensive care plan with measurable objectives and timetables must be developed for each resident based on the comprehensive assessment and must be periodically reviewed and revised by a team of qualified persons after each assessment. For one resident admitted on 12/27/25 with diagnoses including A-fib, peripheral vascular disease, and pain, review of the comprehensive care plan on 2/5/26 showed nine active care plans (covering allergies, self-care deficit, risk for skin breakdown, risk for falls, pain, nutrition/hydration needs, discharge, elopement, and code status), all of which had an outstanding target review date of 1/13/26 and had not been updated.

For another resident admitted on 6/15/25 with COPD, bipolar disorder, and diabetes, review of the comprehensive care plan on 2/5/26 showed nine care plans (covering discharge plan, psychotropic medications, altered nutrition and hydration, risk for skin breakdown, self-care deficit, risk for falls, smoker, code status, and altered respiratory status), all with an outstanding target review date of 1/11/26 that had not been met. During a telephone interview on 2/5/26 at 11:30 a.m., the Social Worker confirmed that the care plans for these two residents were not reviewed and/or revised within the required timeframes, in violation of the facility’s policy and 28 Pa. Code 211.12(d)(1)(5) related to nursing services.