Failure to Provide Timely Wound Dressing Changes
Penalty
Summary
A deficiency occurred when a resident with wounds on the right foot did not have their wound dressing changed as scheduled. The resident's family member observed that the date on the dressing was not current, indicating it had not been changed as required. The unit manager initially suggested the wrong date may have been written, but the family member reported that a nurse had previously stated she was unable to change the dressing due to being the only nurse on duty for 40 residents without a medication aide, and that the evening nurse, who was advised to perform the dressing change, failed to do so. Additionally, another staff member admitted to incorrectly dating a dressing, stating she did not work on the date written and may have put the wrong date on the dressing. These actions and inactions resulted in the failure to provide timely wound care for the resident.