Failure to Provide Safe and Appropriate Respiratory Care
Penalty
Summary
The facility failed to provide appropriate respiratory care and services for two residents. For one resident with Parkinson's Disease and a history of syncope, physician orders required continuous oxygen administration at 2 liters, as well as oxygen as needed. However, during observation, the resident was not receiving oxygen as ordered, and this was confirmed by a registered nurse at the time of the observation. Another resident with chronic pulmonary disease and respiratory failure with hypoxia had a physician order for continuous oxygen at 3 liters per minute via nasal cannula. Upon observation, the resident was receiving only 2 liters of oxygen, and the oxygen concentrator's filter was found to be dirty. Additionally, the oxygen tubing was labeled with an unreadable bandage, making it unclear when it was last changed. These findings were confirmed by a licensed nurse during the survey.