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- Plan Of CareCare planning
Inspectors found that the home did not ensure staff collaborated with the resident's doctor when there was a change in the resident's condition.
- Plan Of CareCare planning
Inspectors found that staff did not follow a doctor's orders to monitor a resident's fluid intake as specified in the plan of care, which prevented the doctor from being able to assess the resident's hydration status.
- General RequirementsPrograms & admin
Inspectors found that the home did not document a skin integrity assessment that was altered for a resident.
- Pain ManagementPain
Inspectors found that after a resident fell and reported ongoing pain, staff did not communicate the resident's pain responses or whether pain management strategies were working to the doctor. The resident was later transferred to the hospital due to worsening pain.