**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to revise a care plan for a resident who experienced significant weight loss for 1 of 1 resident reviewed for nutrition. (Resident 3) Findings include: On 9/20/23 at 2:40 P.M., Resident 3 was observed lying in bed in her room. The resident appeared thin in the face and all extremities. On 9/20/23 at 3:05 P.M., Resident 3's clinical record was reviewed. The diagnoses included, but were not limited to, [NAME] Syndrome (a condition characterized by symptoms of a blockage of the intestine without any physical block) and chronic respiratory failure. The Annual Minimum Data Set assessment, dated 6/30/23, indicated the resident had experienced weight loss and was not on a physician prescribed weight loss program. On 3/27/23, the resident weighed 114.6 lbs. On 9/18/23, the resident weighed 100 pounds which was a 12.74 percent weight loss in 6 months. On 8/28/23, the resident weighed 101.3 lbs. On 9/4/23, the resident weighed 93 pounds which was a 8.19 percent weight loss in 1 week. A physician's order, with a start date of 4/25/23 indicated the resident was prescribed 120 ml (milliliters) of Ensure three times per day. A nutrition care plan with a problem start date of 4/27/23 indicated the resident had experienced significant weight loss. Interventions with a start date of 4/27/23 indicated .offer encouragement and assistance with eating .provide diets, supplements, medications, adaptive equipment, and snacks as ordered .weigh as ordered . No nutrition care plan interventions relative to the resident's weight loss were documented after 4/27/23. During an interview on 9/21/23 at 10:18 A.M., the resident indicated at times she had little appetite. The resident indicated she would consume ice cream milk shakes if offered to her to help increase her weight. During an interview on 9/26/23 at 10:05 A.M., the Director of Health Services, Assistant Director of Health Services, and the Administrator indicate staff was aware of the resident's weight loss, and no interventions had been updated or added to the nutrition care plan since 4/27/23. 3.1-35(d)(2)(B)