Failure to Obtain Ordered Laboratory Test for C. diff
Penalty
Fine: $13,247
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
Facility staff failed to obtain laboratory services as ordered for a resident admitted with dementia. The medical record showed that a Nurse Practitioner ordered a C. difficile (C. diff) stool sample for the resident, but no specimen was collected or sent to the laboratory from the time of the order until the resident's discharge. During this period, a change of condition was documented, noting that the resident's representative requested hospital evaluation due to ongoing diarrhea lasting over two weeks. The Assistant Director of Nursing confirmed in an interview that the ordered C. diff specimen was never sent.