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Tag No.: A0385
Based on review of hospital policies and procedures, medical record reviews, facility document and video surveillance reviews, and staff interviews, the hospital failed to have an effective nursing service providing oversight of day to day operations for safe nursing care by failing to ensure implementation of post fall procedures for 2 of 4 post fall patients reviewed (Patients #2, #5).
The findings include:
Hospital nursing staff failed to supervise and evaluate care by failing to implement post fall procedures for 2 of 4 patients reviewed who fell in the facility. (Patients #2, #5)
~cross refer to 482.23(b)(3) Nursing Standard: Tag A0395