Penalty

No penalty information released

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 develop and implement a baseline care plan for a resident within 48 hours of admission, as required by facility policy. The resident was admitted with diagnoses including severe protein-calorie malnutrition, anorexia, depression, and muscle weakness. Despite the resident's significant nutritional needs and self-reported weight loss, there was no documented evidence in the clinical record that a baseline care plan addressing nutrition was created or put into place. This was confirmed during an interview with the Director of Nursing, who acknowledged the absence of a baseline care plan related to the resident's nutrition diagnosis.