Failure to Adhere to Oxygen Administration Policy
Penalty
Summary
The facility failed to ensure proper respiratory care for two residents, R25 and R119, by not adhering to the established oxygen administration policy. For R119, who was readmitted with diagnoses including pneumonia and chronic lung disease, the facility did not consistently use ear pads or ensure the nasal cannula was in place, despite physician orders and care plans indicating the need for continuous oxygen. Observations revealed that R119 frequently removed the oxygen, and staff did not consistently reapply it or provide education on its necessity. Additionally, the care plan did not address R119's behavior of removing the oxygen, and staff confirmed non-compliance with the oxygen administration. For R25, the facility did not change the oxygen tubing and humidifier weekly as required, with labels indicating they were overdue for change. The staff confirmed the oversight, and there was also a lack of ear pads on the tubing. The facility's administration and DON were unaware of the policy requirement for ear pads for residents on continuous oxygen. These deficiencies highlight a failure to follow the facility's oxygen administration policy, potentially compromising the residents' respiratory care.