Failure to Notify Physician of Elevated Blood Glucose Readings
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 ensure that nursing staff had the appropriate competencies and skills to follow physician orders for a resident with diabetes. Medical record review showed that the resident was admitted with a diagnosis of diabetes and had physician orders for accu-checks four times daily, with instructions to administer 10 units of insulin and notify the physician if results were 401 or greater. On multiple occasions, the resident's blood glucose readings exceeded 401, but there was no documentation that the physician was notified as required. This was confirmed during an interview with the Director of Nursing, who acknowledged the lack of documentation regarding physician notification for these elevated readings.