Failure to Label and Change Oxygen Tubing as Required
Penalty
Summary
The facility failed to provide necessary care and services for respiratory care in accordance with professional standards for one resident. The resident, who had diagnoses including Chronic Obstructive Pulmonary Disease, Chronic Diastolic Heart Failure, Ischemic Cardiomyopathy, and Asthma, had a physician's order for oxygen therapy at 2 liters per nasal cannula as needed. Observations on two consecutive days revealed that the resident's oxygen tubing was not labeled with the date it was last changed. Interviews with nursing staff, including an LPN and the Director of Nursing, confirmed that the tubing should have been changed and labeled weekly, and that it was the nurse's responsibility to do so. The failure to label and change the oxygen tubing as required constituted a deficiency in the provision of respiratory care.