Failure to Notify Physician of Significant Weight Changes
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
Facility staff failed to notify the physician regarding significant weight changes for a resident with chronic heart failure, hypertension, and a pacemaker. The physician's order required daily weights and notification if the resident gained three or more pounds in 24 hours or exceeded 283 pounds. Review of the resident's records showed multiple instances where the resident's weight exceeded these parameters, but there was no documentation that the physician was notified. When interviewed, an LPN could not recall notifying the physician or documenting such notification, and both the Administrator and DNS confirmed that staff were expected to follow the physician's order and report weight changes as directed.