Failure to Implement Recommended Pressure Ulcer Treatment
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 resident with an unstageable pressure ulcer on the right medial ankle was evaluated by a wound consultant, who recommended specific wound care treatments including cleansing with normal saline solution, application of medical grade honey and calcium alginate, securing with bordered foam, and changing the dressing daily and as needed. Despite these recommendations, a review of the resident's physician orders and treatment administration record for the month showed that the recommended treatment had not been implemented or updated as advised. This lapse was confirmed during a review and brought to the attention of the Director of Nursing.