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- Plan Of CareCare planning
Inspectors found that the home's staff used a transfer device for a resident without including it in the resident's plan of care and without notifying the nurse involved in that resident's care.
- Plan Of CareCare planning
Inspectors found that the home did not promptly notify a resident's substitute decision-maker about a change in the resident's skin condition, limiting the opportunity for the substitute decision-maker to participate in decisions about the resident's care.
- Plan Of CareCare planning
Inspectors found that a resident's plan of care specified that continence care should be provided at a certain frequency, but the home did not provide this care as documented in the plan.
- General RequirementsPrograms & admin
Inspectors found that when a resident experienced a change in skin condition, the home did not document the nurse's reassessment of the skin or the interventions provided to address it.