Failure to Ensure Blood Sugar Monitoring for Resident on Insulin
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
A deficiency was identified when a resident with diabetes mellitus, admitted to the facility and prescribed both Humalog and insulin glargine, did not have a physician's order for blood sugar monitoring documented in the electronic medical record (EMR). Interviews with nursing staff and a nurse practitioner confirmed that standard practice is to obtain orders for finger stick blood sugar monitoring when a resident is receiving insulin, typically for at least three days upon admission. Despite this protocol, the EMR for this resident lacked any such order, and staff acknowledged the omission during interviews. The absence of a blood sugar monitoring order was confirmed through both record review and staff interviews.