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F0557
D

Failure to Maintain Resident Dignity During Wound Care

Smethport, Pennsylvania Survey Completed on 05-30-2025

Penalty

No penalty information released
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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

A deficiency was identified when a Licensed Practical Nurse (LPN) failed to maintain resident dignity during a wound dressing change for a resident with a coccyx pressure ulcer. The LPN was observed placing a new dressing on the resident and then dating the dressing while it was already on the resident, rather than dating it prior to application. During an interview, the LPN confirmed this practice and acknowledged that the dressing should have been dated before being placed on the resident. The resident involved had a history of a fractured right femur, heart failure, dementia, and high blood pressure, and was under physician's orders for specific wound care to the coccyx.

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