CITIZENS MEDICAL CENTER LTCU in COLBY, KS was fined $17,124 by CMS following 17 deficiency citations identified during federal surveys.

CITIZENS MEDICAL CENTER LTCU (COLBY, KS) — $17,124 in CMS Fines

Outcome: CITIZENS MEDICAL CENTER LTCU in COLBY, KS was fined $17,124 by CMS following 17 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.


• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.


• Provide appropriate treatment and care according to orders, resident’s preferences and goals.


• Provide appropriate pressure ulcer care and prevent new ulcers from developing.


• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.


• Ensure each resident’s drug regimen must be free from unnecessary drugs.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.


• Provide safe and appropriate respiratory care for a resident when needed.