Failure to Provide Prescribed Oxygen Therapy
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 occurred when a resident with a physician's order for oxygen at 3 liters per minute via nasal cannula with humidifier, due to a diagnosis of Chronic Obstructive Pulmonary Disease (COPD), was repeatedly observed receiving oxygen at 4 liters per minute without the required humidification. The resident, who was unable to check the oxygen settings independently, relied on staff to ensure the correct delivery. Multiple observations confirmed the oxygen concentrator was set incorrectly and lacked a humidifier. Staff interviews verified awareness of the correct order but acknowledged the oxygen was not checked at the start of the shift, resulting in the resident not receiving the prescribed respiratory care.