architecture/proposed/02-state-survey-poc.mdfor the production-architecture this UI is modeled onDevelop / implement comprehensive care plan
Surveyor reviewed the infection control logs for the 30 days preceding the survey. Hand hygiene compliance audit data was missing for 18 of 30 days. The infection preventionist confirmed that documentation was deferred during a staffing gap and not back-filled.
Provide care and assistance to perform activities of daily living for any resident who is unable
Resident #R209 voiced a grievance regarding her care assignment to the social services director on 2024-09-10. The grievance log showed the entry but no documented follow-up occurred within the 5-day window required by facility policy.
Services provided meet professional standards
Comprehensive care plan for Resident #R412 dated 2024-08-15 did not include interventions for the resident's documented pain diagnosis. Interdisciplinary team meeting minutes from 2024-09-22 noted that pain assessment was discussed but no plan revision occurred.