Failure to Follow Physician's Order for Oxygen Therapy
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 follow a physician's order for oxygen therapy for one resident. According to the clinical record, the resident had a current order to receive oxygen via nasal cannula, with instructions for the cannula to be changed every night shift on Wednesdays. Facility policy also required oxygen supplies, including cannulas, to be changed weekly and when visibly soiled, and to be labeled with the resident's name and the date of setup or change. Observations on two consecutive days revealed that the resident's nasal cannula was dated from several weeks prior and was visibly soiled, with red-tinged nasal prongs and brownish-red dots on the wrapping. The resident confirmed regular use of the oxygen equipment while in the facility.