Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F842 in Guam. Pick another state for the same tag.
Against expectation — 2024
Guam cites F842 more often than its own record predicts
Versus expected share3.13×
3.13 times the share F842 takes of citations nationally.
Share of Guam citations5.88%
Of every deficiency written in Guam in 2024, this is the portion that was F842.
Guam5.88%
National1.88%
Share of all citations that were F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Guam surveyors wrote
F842 findings written in Guam, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
D · No harm, potential for more than minimal, isolatedSeptember 26, 2022
Based on interview and record review the facility failed to ensure all documents in Resident (R) 5's medical records were complete and accurate (R5 - 1 of 3 closed medical records [MEDICAL RECORD OR PHYSICIAN ORDER] . Staff also failed to complete the document when R5 was transferred to the acute care hospital. Incomplete and inaccurate records can potentially impact a resident's care.
Findings:
A review of R5's medical record revealed the facility admitted R5 on 07/01/22, and transferred him to the hospital on 07/05/22.
A chart note dated 07/05/22 at 08:34, written by Licensed Nurse (LN) 10 indicated R5 was found unresponsive in the dining area. The physician was notified and a report called to the hospital. …
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