Delay in Physician Review of Radiology Report Following Resident Injury
Penalty
Fine: $484,200
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
A deficiency was identified when the facility failed to ensure timely accessibility of a radiology report to the attending physician for a resident who sustained an injury of unknown origin. Medical record review showed that an x-ray was ordered and completed for the resident, revealing a right femoral neck fracture with a recommendation for further imaging. Although the radiology report was received by the facility in the evening, there was no documented response or follow-up by the attending physician until the following day at midday. The Director of Nursing was informed of these findings during the survey, and no additional information was provided regarding the delay in reviewing the x-ray report.