Failure to Provide Appropriate Treatment and Care per Physician Orders
Penalty
Summary
The facility failed to provide appropriate treatment and care for two residents as required by physician orders and resident needs. For one resident with diagnoses including atrial fibrillation, breast neoplasm, and osteoarthritis, the hospital discharge record included a physician order for a pureed diet. However, the facility did not include this dietary order in the resident's clinical record until three days after admission, resulting in a delay in providing the prescribed diet. The Director of Nursing confirmed that the pureed diet order was not implemented in a timely manner. For another resident admitted with respiratory failure, immunodeficiency, and kidney transplant rejection, the hospital discharge summary indicated that a pain medication (Hydrocodone-Acetaminophen) was discontinued. Despite this, the facility obtained a new physician order for the same medication and administered it 19 times during the month. The Registered Nurse Supervisor confirmed that the medication should not have been ordered or administered, as it had been discontinued at the hospital. These findings were acknowledged by both the Director of Nursing and the Nursing Home Administrator.