Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0554
D

Failure to Assess and Care Plan for Resident Self-Administration of Nebulizer Treatments

Winter Haven, Florida Survey Completed on 04-10-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to obtain physician orders, conduct assessments, or develop care plans for two residents who were self-administering nebulizer treatments. Observations revealed that both residents independently managed their nebulizer treatments without nursing staff remaining present during administration, as required by facility policy. In both cases, the nebulizer equipment was left un-bagged on bedside tables after use, and the residents reported that nurses provided the medication and set up the equipment but did not stay in the room during the treatment. Review of the medical records for both residents showed no physician orders authorizing self-administration of nebulizer treatments, no documentation of assessments to determine their ability to self-administer, and no care plan interventions addressing self-administration. Both residents had diagnoses including COPD and required respiratory treatments, with cognitive assessments indicating intact cognition. However, their care plans only addressed general respiratory care and did not include any provisions for self-administration of medications or storage arrangements for nebulizer equipment. Interviews with staff, including an LPN and the DON, confirmed that the facility did not have any residents formally assessed or care planned for self-administration of nebulizer treatments. The DON stated that the process for nebulizer treatments required nursing staff to remain with the resident throughout the procedure, and that any resident self-administering should have an order, assessment, and care plan in place. Facility policies also required interdisciplinary team assessment and documentation before allowing self-administration, none of which were completed for the residents involved.

An unhandled error has occurred. Reload 🗙