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F0578
D

Failure to Document Life-Sustaining Treatment Orders in EHR

Streator, Illinois Survey Completed on 04-25-2025

Penalty

No penalty information released
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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 ensure that a resident's Physician Order for Life Sustaining Treatment (POLST) was properly entered as a physician's order in the electronic health record (EHR). Although the resident's signed POLST, indicating a desire not to be resuscitated and to avoid certain life-sustaining interventions, was scanned into the EHR under a miscellaneous tab, there was no corresponding physician's order for life-sustaining treatment in the system. The resident confirmed having provided the signed POLST to the facility and expressed her wishes regarding resuscitation and life-sustaining measures. The Director of Nursing stated that staff typically refer to a CPR list posted at the nurse's station to determine code status, but acknowledged that the list was not the most current version. A registered nurse demonstrated that code status should be visible in the EHR, generated by a physician's order, but confirmed that for this resident, no such order was present and the code status was not displayed, indicating a failure to accurately document and communicate the resident's advance directives.

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