F0656

D

Failure to Incorporate Dental and CKD Needs Into Comprehensive Care Plans

Silver Spring, Maryland Survey Completed on 03-27-2026

Penalty

No penalty information released

Summary

Facility staff failed to develop and initiate comprehensive person-centered care plans that addressed all identified needs for two residents. For one resident, medical record review on 03/26/2026 showed that although contract dental services had been actively treating the resident, identifying dental issues, and working to replace the resident’s dentures, these dental problems and related interventions were not included in the resident’s care plan. The dental provider had documented completed and pending dental work, but this information was not reflected in the care planning documentation.

For another resident, medical record review on 03/27/2026 revealed that a diagnosis of Chronic Kidney Disease (CKD), Stage 3, made by the primary provider and also identified during two emergency room visits at an acute care hospital within the prior eight months, was not incorporated into either the initial or current care plan. During an interview on 03/27/2026 at 2:20 PM, Employee #8 confirmed that the care plans for both residents were missing these identified elements.