Failure to Obtain Daily Weights as Ordered for Resident with Cardiac Conditions
Penalty
Summary
A deficiency was identified when a resident with diagnoses including congestive heart failure, pleural effusion, and cardiomyopathy was not weighed daily as ordered by the physician. The resident's care plan included daily weights as an intervention for cardiac risk, and a physician order dated 12/1/24 specified daily weights. However, review of the weight record from 12/1/24 to 5/15/25 showed that daily weights were missed on 38 out of 166 occasions. Interviews with an LPN and the Director of Nursing confirmed that the resident was not weighed daily according to the physician's order and that it was the nurse's responsibility to obtain and document the daily weight. The facility's weight monitoring policy required weights to be taken as ordered by the physician, but this was not consistently followed for the resident in question.