Failure to Obtain Physician Orders for Continuous Oxygen Use
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 have physician orders in place for continuous oxygen use for a resident who had been receiving oxygen therapy throughout their stay. The resident, admitted with diagnoses including chronic heart failure, acute respiratory failure, end stage renal disease, diabetes mellitus, and depression, arrived at the facility on oxygen at two liters. Despite ongoing documentation in skilled nursing notes that the resident was receiving oxygen, there were no corresponding physician orders or care plan addressing oxygen use from admission until nearly two months later. The Director of Nursing confirmed that the resident had been on oxygen the entire time without an order or care plan in place.