Failure to Monitor Blood Sugar Levels 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 monitor a resident's blood sugar levels as ordered by the physician. The resident, who had diagnoses including atrial fibrillation, hypertension, diabetes mellitus, and congestive heart failure, was admitted with an order for Accu-Chek (fingerstick blood sugar monitoring) to be performed two times daily. Documentation in the medical record showed that Accu-Chek was only completed once daily, rather than the twice-daily frequency specified in the physician's order. This was confirmed by the Director of Nursing during an interview, who acknowledged that the monitoring was not performed as ordered.