Failure to Complete Admission Chest X-ray per Standing Orders
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 implement standing physician orders for a chest x-ray for one resident upon admission. Review of the resident's records showed that the required chest x-ray, as specified in the physician's COVID protocol standing orders, was not completed. The resident, who was admitted with multiple medical diagnoses including metabolic encephalopathy, cellulitis, repeated falls, tendon disorder, and mild cognitive impairment, did not have documentation of the chest x-ray in their health record. Interviews with the ADON and DON confirmed that the admission standing order for the chest x-ray was not carried out, and there was no evidence that the procedure was performed as required.