Surveyors found that the nursing home did not complete a facility assessment to determine the needs of residents and the resources required to provide care and services to residents.1 The facility assessment tool that the nursing home administrator provided the surveyors showed that there was no “documented evidence that a complete assessment of the resident population considering the types of diseases, condition, physical and cognitive disabilities, and overall acuity was done.” When the surveyors interviewed the nursing home administrator, the administrator told surveyors that she “did not have a completed facility assessment . . . [and] that she was aware of the requirement but had not completed the assessment.”
The surveyors determined that the facility did not “ensure that a facility-wide assessment was conducted to thoroughly assess the needs of its residents and to determine the required resources to provide the care and services to its residents during its day-to-day operations.” Despite the nursing home’s failure to adequately assess the needs of residents and the facility’s ability to meet those needs, surveyors cited the deficiency as “no harm.” During this inspection, surveyors also cited the nursing home for four other deficiencies, including failing to “have sufficient staff with the appropriate competencies and skill sets to provide nursing related services to assure resident safety and attain or maintain the highest practicable, physical, mental, and psychosocial well-being of each resident .” This latter standard specifically requires facilities to factor in information from the facility assessment.2
