Failure to Obtain Ordered Laboratory Tests
Penalty
Summary
The facility failed to implement the plan of care by not following physician orders for laboratory testing for one of three sampled residents. Record review showed that a resident with diagnoses including essential hypertension, type 2 diabetes mellitus, benign prostatic hyperplasia, and hyperlipidemia was readmitted to the facility and had physician orders for a lipid panel every six months and annual PSA and urine for microalbumin tests, all scheduled for June. Further review of the resident's medical record did not reveal evidence that these laboratory tests were obtained as ordered during the specified month. During an interview and record review with the Director of Nursing, it was confirmed that the required laboratory tests were not completed as per the physician's orders.