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F0695
D

Failure to Obtain Physician Order for Oxygen Therapy

Berlin, New Hampshire Survey Completed on 06-19-2025

Penalty

No penalty information released
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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 resident who returned from the hospital with diagnoses including acute bronchitis, urinary tract infection, early pneumonia, and reactive airway disease was observed on multiple occasions using oxygen via nasal cannula, both in bed and in a wheelchair with a portable oxygen tank. Clinical notes indicated the resident was on 1 liter of oxygen via nasal cannula and that orders would be initiated with the physician notified. However, review of the resident's physician orders revealed that no orders for oxygen had been obtained. This was confirmed by the unit manager, who acknowledged that the resident was receiving continuous oxygen without a physician's order.

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