Failure to Provide Wound Treatment 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
The facility failed to provide wound treatment for a pressure ulcer identified on a resident's left lower back. On March 13, 2025, a new deep tissue pressure injury (DTI) was observed and documented, with the wound initially cleansed and ointment applied, and the nurse practitioner notified. However, review of the resident's treatment administration record (TAR) showed no evidence that wound treatment was administered for the DTI from March 14, 2025, until the resident was transferred to the hospital on March 17, 2025. The Director of Nursing confirmed the absence of documented wound care during this period.