Now it is. McWilliams emphasized that when nurses were interviewed by inspectors, they showed awareness of the problems and how to address patient needs, despite the lack of documentation. Also, the care-plan process had already been identified as an issue and was undergoing review for improvement at the time of the inspection, the reply stated. Of the deficiencies, one was rated as an A, a relatively minor problem, and four were considered to be Level D, meaning they had the potential for causing more than minimum harm to the patient. The worst offense cited during the inspection, a Level E meaning there is a widespread problem affecting multiple residents was for the facility lack of adequate care plans for some clients.
L meaning the resident is in imminent danger.
Vista Grande submitted a plan of correction for the problems cited in the report. New care plans for each patient were drawn up, and improved procedures for reviewing and updating them have been implemented, McWilliams said. The unannounced July inspection showed that several patient-care plans were incomplete. Vista Grande challenged the report s assertion that a woman s sudden weight loss was an indication of deficient care. According to the plan of correction, the woman s self-imposed dieting was within the scope of her resident rights.