Delayed Wound Care Order for Pressure Ulcer
Penalty
No penalty information released
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
A resident admitted with muscle weakness, moderate protein-calorie malnutrition, and impaired cognition was found to have a small open area on the inner sacrum during the admission skin assessment. Despite this finding, a wound care order was not entered until three days after admission. The Director of Nursing confirmed that although the skin assessment documented the wound upon admission, the nurse did not promptly contact the physician for a treatment order. Facility policy requires that residents admitted with any skin impairment have appropriate interventions implemented and a physician's order for treatment documented, which was not followed in this case.