Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0684
E

Failure to Implement and Document Wound Care Orders for Resident with Gastrocutaneous Fistula

Sandwich, Massachusetts Survey Completed on 05-21-2025

Penalty

No penalty information released
tooltip icon
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 occurred when a resident with a chronic wound at a former gastrostomy tube site did not receive necessary wound care and services as ordered and recommended by consulting specialists. The facility failed to transcribe and implement updated wound care recommendations from the stoma clinic, including the use of a specific appliance size and frequency of stoma powder application. The orders in the medical record did not match the supplies being used, and the most recent recommendations for a smaller appliance size were not reflected in the physician's orders or in the supplies available to staff. Additionally, the daily application of stoma powder, as recommended after a hospital visit for maceration, was not transcribed into the electronic medication administration record (eMAR/eTAR), resulting in missed treatments. Documentation revealed multiple missed or unsigned wound care treatments, including appliance changes and application of silver nitrate and stoma powder. The transition from paper to electronic charting further contributed to incomplete transcription of orders, and there were several instances where the required treatments were not documented as completed. Progress notes indicated ongoing maceration of the skin around the wound, but there was no evidence that the physician or stoma clinic was notified of this persistent issue, as required by facility policy. Interviews with nursing staff and management confirmed a lack of clarity regarding the current treatment orders and the rationale for appliance selection. Staff were unsure why the orders and supplies did not match, and there was no documentation that the resident or their health care proxy was educated about or involved in decisions regarding changes to the wound care regimen. The Director of Nursing acknowledged that the orders and supplies should match, and that the physician and stoma clinic should have been notified of the ongoing maceration, but this did not occur.

An unhandled error has occurred. Reload 🗙