Failure to Provide Timely Respiratory Care and Humidified Oxygen
Penalty
Summary
Facility staff failed to provide necessary respiratory care for Resident #12, who has a tracheostomy and a physician's order for humidified oxygen. During observation, the resident was found in bed with an empty humidification bottle attached to their oxygen setup. The resident reported having requested suctioning approximately 30 minutes prior, but only a GNA had entered the room, and a nurse had not yet performed the suctioning. The Director of Nursing confirmed the empty humidification bottle and the resident's unmet request for suctioning. The Unit Manager, after being notified, delayed suctioning the resident while performing other tasks before eventually returning to provide the care. Medical record review confirmed the resident's need for humidified oxygen and tracheostomy care, and the DON acknowledged the failure to meet the resident's respiratory needs.