Failure to Implement Physician's Orders for Diagnostic Tests
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 implement physician's orders for one resident who had multiple diagnoses, including congestive heart failure, atrial fibrillation, muscle weakness, angiodysplasia of the stomach and duodenum, and pulmonary hypertension. The clinical record showed that there were physician's orders to schedule a chest X-ray for pleural effusion hypoxia and to obtain a stool specimen to rule out clostridium difficile. However, there was no documented evidence that either the chest X-ray or the stool specimen was completed as ordered. This was confirmed by the Director of Nursing during an interview.