Penalty

Fine: $147,600

The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to review and revise a resident's wound care interventions as required. A resident with a stage 3 pressure ulcer on the ankle, identified on 4/4/25, did not have the wound properly documented in the care plan until 5/29/25, despite the wound being present and later noted as healed on 5/23/25. The wound care nurse acknowledged that the care plan should specify the staging of the wound and differentiate between actual and at-risk skin impairments, but the care plan initially lacked this information. When the care plan was reviewed by the surveyor on the morning of 5/29, it did not include the stage 3 pressure ulcer or a history of the impairment, and the goal for wound care was not specified.