Failure to Label and Change Oxygen Tubing as Ordered
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 deficiency occurred when a resident with chronic obstructive pulmonary disease (COPD) was observed receiving continuous oxygen therapy through tubing that was not labeled with the date it was last changed. The oxygen tubing appeared cloudy and contained clear, thick fluid near the nasal area. According to a licensed vocational nurse, oxygen tubing should be changed daily and labeled accordingly, while the physician's order specified that the nasal cannula or mask should be changed every seven days or as needed when soiled. The resident's care plan also indicated that oxygen tubing should be changed weekly or as needed. Despite these protocols, the tubing in use was not labeled and showed visible signs of soiling.