Failure to Follow Physician Orders for Oxygen Administration
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
The facility failed to follow current physician orders for oxygen administration for one resident with chronic respiratory failure and hypoxia. The resident had a physician's order for continuous oxygen at 2 liters per minute via nasal cannula, with oxygen saturation checks every shift. The care plan also referenced following the current medical orders for oxygen settings. However, during observation, the resident's oxygen was found set at 4 liters per minute, which was not documented as an updated physician order in the resident's chart. The Director of Nursing confirmed that although the physician had reportedly increased the oxygen flow, this change was not documented as required.