Failure to Develop Comprehensive Care Plan for Edema and Oxygen Use
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan addressing all of a resident's needs, specifically for edema, compression glove use, and oxygen therapy. Observation revealed that the resident was using oxygen via nasal cannula at a flow rate of 1.5 liters, had a slightly swollen right hand, and a compression glove was present at the bedside. The resident reported using oxygen, typically at 2 liters, and wearing the compression glove on her right hand only at night. Record review showed diagnoses of hypertension, end stage renal disease, and type 2 diabetes mellitus. The most recent MDS assessment did not indicate oxygen therapy, and the existing care plan addressed only renal insufficiency and general edema prevention, without specific interventions for right hand edema, compression glove use, or oxygen therapy. There was no current care plan in place for these specific needs at the time of the survey.