Failure to Provide Physician-Ordered Pressure Ulcer Care
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
Staff failed to provide wound care for pressure ulcers as ordered by the physician for a resident with severe cognitive impairment and multiple diagnoses, including Alzheimer's disease and fibromyalgia. The resident was dependent for activities of daily living and had two pressure ulcers requiring specific daily treatments as per physician orders. Review of the Treatment Administration Record for February 2025 showed that the required pressure ulcer treatments were not signed off as completed for three consecutive days. The Director of Nursing confirmed that there was no verification that the treatments had been completed on those dates.