Failure to Follow Physician Orders for Skin Treatment
Penalty
Summary
The facility failed to provide care in accordance with the physician's orders for a resident with skin conditions. Over several days, the resident, who has a diagnosis of type 2 diabetes mellitus with neuropathy, was repeatedly observed in the hallway with multiple dried scabs and open areas on both legs, including an open area on the left knee, without the required dressing in place. The physician's order specified that the open scab on the left knee should be cleaned every other day with normal saline and covered with a border dressing every evening and as needed for soilage or dislodgement. Despite these orders, the resident was observed multiple times without the prescribed dressing, and the DON confirmed that the facility was expected to follow the physician's orders for treatment.