Failure to Update Care Plan for Oxygen Therapy
Penalty
Summary
The facility failed to review and revise the comprehensive care plan for one resident to reflect current care and services as required by facility policy. Specifically, a resident with chronic obstructive pulmonary disease, chronic respiratory failure, and sleep apnea had physician orders for continuous oxygen via nasal cannula at 2-3 liters per minute with a goal oxygen saturation of 88-92%. However, the resident's care plan only included interventions for oxygen at 2 liters per minute, either as needed or continuously, and did not reflect the updated physician order. The Director of Nursing confirmed that the care plans were not reviewed or revised to match the current orders and acknowledged that care plans should be updated as necessary.