Failure to Change and Date Nebulizer Masks and Bags as Required
Penalty
Summary
The facility failed to provide appropriate respiratory care for two residents who required nebulizer treatments for chronic obstructive pulmonary disease (COPD). During an initial tour, surveyors observed that both residents' nebulizer masks were stored in plastic bags labeled with their names but without any indication of the date the masks or bags were last changed. According to the facility's policy, nebulizer masks, tubing, and storage bags are required to be changed and dated at least every seven days to promote resident safety during oxygen administration. Medical record reviews confirmed that both residents had active physician orders for multiple inhalation medications administered via nebulizer. Interviews with nursing staff and the Director of Nursing (DON) verified that the nebulizer masks and bags were not dated as required, and staff acknowledged this oversight. The failure to date and regularly change the respiratory equipment was not in accordance with the facility's established policies and procedures.