Failure to Follow Physician Orders for Weights and Pain Medication
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 physician orders for a resident with diagnoses including a left femur fracture, shoulder dislocation, and obesity. The resident's care plan required adherence to a prescribed diet and weekly weights for four weeks, but documentation showed the resident was only weighed once during that period, not weekly as ordered. Additionally, the resident had a physician order for Hydrocodone 7.5 mg to be administered every four hours as needed for severe pain, but records indicated the medication was given when the resident's pain level was documented as 0. These deficiencies were confirmed by interviews with the Nursing Home Administrator and Director of Nursing.