Delayed Laboratory Testing Due to Specimen Mismanagement
Penalty
No penalty information released
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
The facility failed to provide timely laboratory services for a resident who had a physician's order for a urinalysis (UA) with culture and sensitivity due to delusions. The order was written on 5/6/25, and the urine specimen was initially collected on 5/7/25. However, there were no laboratory results for this date, and a subsequent nursing note indicated that the specimen was not tested because it was forgotten in the refrigerator. As a result, the specimen had to be recollected on 5/13/25 and then sent to the laboratory. Staff interviews confirmed that specimens are often forgotten in the refrigerator, leading to delays in treatment.