Failure to Follow Physician Orders for Oxygen Administration
Penalty
No penalty information released
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
The facility failed to follow physician orders for oxygen administration for one resident. According to facility policy, medications and treatments, including oxygen, must be administered as prescribed by the physician. The resident, who had diagnoses including volvulus, diabetes, dysphagia, colostomy, dementia, and heart failure, had a physician's order for oxygen at 2 liters per minute via nasal cannula as needed. However, during multiple observations over several days, the resident's oxygen was found set at 4 liters per minute, which was not in accordance with the physician's order. This discrepancy was confirmed by both the Director of Nursing and a registered nurse during interviews.