Failure to Administer Oxygen Therapy as Ordered
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 diagnoses including dementia, asthma, and chronic obstructive respiratory disease did not receive oxygen therapy as ordered by the physician. The resident, who had severe cognitive impairment and was dependent for bed mobility, transfers, and toileting, was observed on two separate occasions with oxygen administered at 5 liters per minute (lpm) via nasal cannula, instead of the prescribed 3 lpm continuously. The discrepancy between the physician's order and the actual oxygen flow rate was confirmed through record review and staff interview.