Lack of Physician Order for Orthotic Device
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
A deficiency was identified when a resident with a history of cerebral vascular accident and hemiplegia was observed ambulating with a cane and using a sling (orthotic device) on the left arm. Review of the resident's admission record and active physician orders revealed there was no physician order for the use of the sling. Interviews with the LPN/Nurse Manager and the Director of Nursing confirmed that the resident was utilizing the sling and that a physician order should have been in place for its use. The facility's policies did not address the requirement for a physician order for orthotic devices.