Failure to Obtain Physician Order and Maintain Respiratory Equipment
Penalty
Summary
The facility failed to obtain a physician's order for oxygen therapy and did not provide appropriate care for respiratory equipment for one resident. The resident, who had diagnoses of end stage renal disease and chronic congestive heart failure, was observed on multiple occasions receiving oxygen via nasal cannula. The resident reported continuous use of oxygen except when going outside to smoke. Clinical record review and nurse practitioner's notes confirmed ongoing oxygen use, but there was no physician's order for this therapy in the resident's May records. Additionally, there was no documentation that the oxygen tubing was changed weekly as required by facility policy. The Director of Nursing confirmed these deficiencies during an interview.