Failure to Provide Prescribed Wound Care Treatment and Services
Penalty
Summary
The facility failed to provide prescribed wound care treatment and services for two residents as required by physician orders and facility policy. For one resident with diagnoses of heart failure and diabetes, a physician's order directed daily cleansing and dressing changes for a right lower extremity skin tear. However, observation revealed that the dressing was not changed as ordered, with the dressing dated two days prior, despite documentation indicating the treatment was completed. For another resident with peripheral vascular disease and a history of stroke, an open area on the left shin was identified and treated by an LPN, but there was no evidence in the clinical record that the wound was assessed by a provider or that a physician's order for wound treatment was obtained. Additionally, the dressing on this resident's wound was undated. The Nursing Home Administrator confirmed that prescribed treatment and services related to wounds were not provided for these two residents.