Failure to Implement Podiatry Recommendation for Foot Care
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 timely implement a podiatry recommendation for a resident diagnosed with polyneuropathy. The resident had a physician's order to be seen by a podiatrist and was observed to have thick, yellowing, crusty toenails on both big toes. A podiatry note documented that the resident's toenails had been debrided and recommended a new order for urea 40% cream to be applied daily to all toenails for sixty days. However, the clinical record did not contain an order for the urea cream, and the DON confirmed she had not been made aware of the recommendation and that the order for the cream had not been processed.