Failure to Ensure Required Attending Physician Visits for Newly Admitted Resident
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a newly admitted resident received the required initial face-to-face visit and ongoing visits from the attending physician. The resident was admitted on an unspecified date and remained in the facility until transfer to the hospital on 2/16/26. Record review showed that the attending physician (V10) did not perform an initial visit, did not complete any physical assessments, and did not meet the requirement of one visit every 30 days for the first 90 days of the resident’s stay. All documented medical visits and assessments during this period were completed by nurse practitioners (V8 and V11), rather than by the attending physician. During the survey, the DON (V3) and Assistant Administrator (V2) confirmed that there were no progress notes from the attending physician in the resident’s medical record, and that the nurse practitioner (V11) was the one who saw the resident. The facility’s policy on Physician Services – On Call Coverage states that if a physician does not make required visits, the DON and/or Administrator should be notified, followed by notification of the Medical Director if there is still no response, and that a progress note must be placed in the medical record when a physician visits a resident. However, the policy does not specify a time frame for when newly admitted residents must be physically assessed by the attending physician, and there was no documentation that the attending physician had seen or assessed this resident at any time during the stay.
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