Failure to Maintain Wound Dressing as Ordered
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
Facility staff failed to ensure that a wound dressing was intact for a resident with a non-pressure chronic ulcer on the left calf, adult failure to thrive, and peripheral vascular disease. The resident, who was cognitively intact, was observed without a wound dressing in place and with scant drainage present. The resident reported that the dressing came off during morning assistance with dressing by aides. The registered nurse confirmed the wound was open to air and not covered, and stated that she had not been informed about the missing dressing, despite physician orders requiring the wound to be cleaned and covered with boarded gauze every day shift.