Failure to Develop Respiratory Care Plans for Residents on Oxygen Therapy
Penalty
Summary
The facility failed to develop and implement a respiratory care plan for two residents who had physician orders for oxygen therapy. One resident had diagnoses including anxiety, obstructive sleep apnea, and hypertension, and had a physician's order for oxygen at 2 liters per minute via nasal cannula. The other resident had diagnoses of chronic obstructive pulmonary disease, anxiety, and hypertension, with a physician's order for oxygen at 2 liters per minute via nasal cannula as needed to maintain oxygen saturation above 90%. A review of both residents' care plans revealed no evidence of a care plan addressing respiratory care or oxygen administration, despite the presence of relevant physician orders. The Registered Nurse Assessment Coordinator confirmed during an interview that care plans for oxygen administration were not developed for these residents, and acknowledged that such care plans should have been in place.