Oxygen Therapy Not Administered at Ordered Flow Rate
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 ensure that a resident received oxygen therapy at the correct flow rate as ordered by the physician. Observations on multiple occasions showed the resident using oxygen via nasal cannula with the concentrator set at 3.5 liters per minute. However, the resident's care plan and current physician's order specified that oxygen should be administered at 2 liters per minute continuously. The resident had diagnoses including acute and chronic respiratory failure with hypoxia, COPD, and dyspnea, and was cognitively intact. The Director of Nursing confirmed that the oxygen should have been set at 2 liters per minute, indicating the resident was not receiving respiratory care as ordered.