Failure to Change Midline Catheter Dressing 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
The facility failed to implement a physician's order for a resident who had a midline catheter, resulting in the dressing not being changed as prescribed. The resident, who was admitted with diagnoses including urinary tract infection, ESBL resistance, and enterococcus, had a physician's order dated 07/11/2025 to change the midline dressing and apply an antimicrobial patch every Friday during the day shift. Observation on 07/21/2025 revealed that the dressing on the resident's midline catheter was still dated 07/11/2025, indicating it had not been changed as ordered. This was confirmed by the Assistant Director of Nursing/Infection Preventionist, who acknowledged that the dressing should have been changed on 07/18/2025 but was not.