6400.141(c)(14) | Individual #1's physical examination dated 3/3/16 did not document information pertinent to diagnoses in case of an emergency. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | This citation was resolved on 12/6/16 when an individual's physical documented medical information pertinent to diagnoses. Based on the licensing review of November 29-30, 2016, On 12/1/16, the CLA Director sent a memo to the Nurse Manager responsible for this documentation, as well as all CLA nurses, reminding them of the importance of assuring that all physicals document medical information pertinent to a resident's diagnosis. The Nurse Manager will be responsible to assure that all physicals meet regulatory guidelines. |
12/06/2016
| Implemented |