Failure to Notify Physician of Missing Lab and Lack of Lab Policy
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 notify the physician of missing laboratory results and did not have a policy in place for laboratory services. Specifically, a resident with a diagnosis of renal dialysis had a physician order for an A1C test to be performed every three months, with the next test due in February 2025. The laboratory result for February was not found in the records, and the last available A1C result was from November 2024. Staff, including an LPN and the DON, were unaware of how the lab was missed, and the physician was only notified of the missing lab on April 24, 2025. Additionally, the DON confirmed that there was no existing policy for laboratory services at the facility.