Failure to Complete Ordered Laboratory Bloodwork
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 laboratory bloodwork for a resident was completed according to physician orders. The resident, who had diagnoses including schizoaffective disorder bipolar type, chronic obstructive pulmonary disease, and cardiomyopathy, was readmitted and had an order for weekly potassium level testing. Review of the medical record showed that potassium levels were only obtained on three occasions, with two weekly tests missed during the ordered period. The Director of Nursing confirmed that the potassium bloodwork was not completed as ordered. Facility policy requires laboratory services to be provided or obtained when ordered by a physician or other qualified practitioner.