Lack of Physician Order for Ongoing Dialysis Services
Penalty
Summary
The facility failed to ensure that a resident who required dialysis services had a current physician order for dialysis, as required by professional standards of practice. The resident, who had been receiving dialysis since August 2023 and continued to attend treatments at an off-site dialysis center three times a week, did not have a physician order for dialysis documented in her medical record at the time of review. The absence of a physician order was confirmed during a review of the resident's current orders, which showed no such order until one was entered on 4/23/25, despite the resident's ongoing dialysis treatments. The initial care plan also indicated the resident's dialysis history, but there was no evidence of a physician order for dialysis until well after the resident's admission and ongoing treatments.