Failure to Follow Physician's Order for Geri Sleeves
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
A deficiency was identified when staff failed to implement a physician's order for a resident with dementia, diabetes, and end stage renal disease. The clinical record showed that the resident was cognitively impaired and required extensive assistance with dressing. A physician's order dated April 30, 2025, directed staff to apply geri sleeves (arm protectors) to both of the resident's arms at all times except during hygiene. However, during multiple observations on May 15, 2025, the resident was found in bed without the required geri sleeves on his arms, indicating that the physician's order was not followed.