Failure to Provide Hypoglycemia Treatment and Documentation
Penalty
Summary
The facility failed to provide appropriate care and treatment for a resident with low blood sugar as required by physician orders and facility policy. Specifically, a resident with type 2 diabetes mellitus experienced a blood sugar reading of 39, but there was no documentation that the facility staff implemented interventions for hypoglycemia as outlined in the facility's policy, which included administering glucose and rechecking blood sugar within 15 minutes. The medication administration record indicated that insulin was held due to vital sign parameters, but there was no evidence that the resident's blood sugar was rechecked or that any hypoglycemia treatment was provided. Interviews with the ADON confirmed the absence of documentation regarding interventions or a blood sugar recheck for the incident.