Failure to Change Oxygen Tubing as Ordered
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 ensure that oxygen tubing was changed as ordered for a resident requiring continuous oxygen therapy. Medical record review showed that the resident, admitted with chronic respiratory failure with hypoxia, COPD, and a history of pulmonary embolism, had a physician's order for continuous oxygen at bedtime and for the oxygen tubing to be changed weekly on Sundays. During an observation, the oxygen tubing in the resident's room was found to be dated more than two weeks prior, indicating it had not been changed according to the order. Staff confirmed the date on the tubing, and facility policy required weekly changes of oxygen tubing and mask/cannula, as well as adherence to infection control measures.