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 Puerto Rico. Pick another state for the same tag.
Against expectation — 2024
Puerto Rico cites F842 less often than its own record predicts
Versus expected share0.19×
0.19 times the national share — cited less often here than elsewhere.
Share of Puerto Rico citations0.35%
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F842.
Puerto Rico0.35%
National1.87%
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 Puerto Rico surveyors wrote
F842 findings written in Puerto Rico, 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.
E · No harm, potential for more than minimal, patternMay 15, 2024
Based on review of thirteen medical records on 05/13/24 through 05/15/24 from 8:00 AM till 4:30 PM and interview with facility nursing supervisor (employee #3), it was determined that facility failed to ensure that telephone orders taken by nursing personnel were signed and authenticated accordingly with facility policies and procedures. This deficient practice was identified in 3 out of 13 cases reviewed. (Case RR#105, #108 and #117).
Findings include:
Facility policy Title: Notificacion al Medico por Via Telefonica Sobre Cambios en la Condicion del Paciente last update July 15, 2016, was reviewed on 05/13/2024 at 2:35 PM with Nursing Supervisor (employee #3). …
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