Failure to Follow Physician Orders for Wound Care Supplement
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 physician orders for one resident who had multiple diagnoses, including diabetes, heart failure, renal insufficiency, and diabetic foot ulcers. The resident's care plan identified a risk for skin integrity issues and directed staff to administer treatments as ordered by the physician. A wound clinic note included an order for a daily protein supplement (Prostat AWC) to assist with wound healing. However, staff missed this order, as it was not properly identified in the clinical documentation. Both the Director of Nursing and an LPN confirmed that the order was overlooked and not implemented as required by facility policy, which mandates correct transcription and administration of physician orders.