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F0825
D

Failure to Implement Physician-Ordered Physical Therapy

Mcminnville, Oregon Survey Completed on 06-09-2025

Penalty

Fine: $25,116
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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

A deficiency occurred when a resident with a history of bilateral heel bone fractures and multiple rib fractures, who was cognitively intact, did not receive physician-ordered physical therapy services. After a physician visit, the resident received a hard copy order from a bone specialist for continued physical therapy two times a week for eight weeks and handed it to a nurse upon returning to the facility. However, the order was not entered into the resident's health record, and no current order for physical therapy was found. Staff confirmed that the therapy order was not communicated or entered, and the resident was not scheduled for the prescribed therapy sessions.

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