Failure to Ensure Physician Orders and Appropriate Nutrition for Dialysis Patient
Penalty
Summary
The facility failed to provide safe and appropriate dialysis care and services for a resident requiring hemodialysis. The resident, who regularly attended dialysis at an off-site center, did not have a physician order for dialysis treatment documented upon admission, with the order only being created several months later. Additionally, the resident reported not receiving adequate protein with a supper meal, expressing dissatisfaction with the lack of meat options and stating he was tired of chicken. Staff confirmed that the resident should have been receiving double servings of protein and that alternative options were available if the resident did not want chicken. Observations confirmed the resident was not present to eat the meal provided, which included green beans, a bun, chicken noodle soup, and pumpkin pie, and did not include a protein alternative as per the resident's dietary needs and preferences.