Failure to Perform Physician-Ordered Laboratory Tests
Penalty
Summary
The facility failed to ensure that laboratory tests ordered by a physician were performed as required for one resident. The resident, who had diagnoses including a pressure ulcer of the right heel, morbid obesity, and diabetes mellitus, was admitted to the facility and assessed to have intact cognition. Physician orders specified that a Complete Blood Count (CBC) with differential, Basic Metabolic Panel (BMP), and Hemoglobin A1C (HgbA1C) were to be drawn and resulted every three months in January, April, July, and October. However, a review of laboratory results showed that none of these tests were obtained for the resident from January through May of the review year. This was confirmed by an LPN during an interview, who acknowledged that the required laboratory tests had not been completed as ordered in January or April.