Inaccurate and Incomplete Facility Assessment Documentation
Penalty
Summary
The facility failed to accurately complete its facility-wide assessment used to determine necessary resources for competent resident care during routine operations and emergencies. Review of the Facility Assessment Tool dated 1/23/26 showed that in the section titled “Services and Care,” the facility listed ventilator care and hypodermoclysis even though this did not reflect accurate information. In the section titled “List of Key Personnel,” the assessment still identified the previous Nursing Home Administrator and the previous Director of Nursing instead of current leadership. In the section titled “Physical Resources,” the assessment failed to include crash carts and AEDs, which are emergency equipment maintained and used in urgent situations. During an interview, the current Nursing Home Administrator confirmed that the facility failed to accurately complete the Facility Assessment. No specific residents or their medical conditions were identified in the report as being directly involved in this deficiency.
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