Failure to Consistently Apply Compression Stockings
Penalty
Summary
The facility failed to provide person-centered care by not adhering to a physician's order for the consistent application of compression stockings for a resident. Resident 22, who was admitted with diagnoses of cerebral infarction and essential hypertension, had a physician's order for TED stockings to be applied in the morning and removed in the evening. However, observations and interviews revealed that the resident was not wearing the stockings as ordered, and the resident reported that staff did not assist with their application on the day of the survey. The resident's January 2025 Treatment Administration Record inaccurately documented that the stockings were applied, which was inconsistent with the resident's statements and observed findings. The resident also indicated that she had to remind the nurse to apply the stockings, suggesting a lack of adherence to the prescribed care plan. The Director of Nursing confirmed that staff did not consistently follow the physician's orders regarding the application and removal of the TED stockings.
Plan Of Correction
1. Resident 22 will have TED stockings applied, per physician's orders. 2. The facility will complete an audit of residents with physicians' orders for TED stockings to ensure they are properly applied. 3. The DON/designee will provide education to licensed nurses about consistently following physicians' orders regarding the application and removal of TED stockings. 4. The DON/designee will perform weekly audits of sampled residents with physician orders for TED stockings to ensure proper application. Results will be reviewed at the facility's monthly QAPI meeting. Audits will continue until substantial compliance is reached.