Failure to Update Physician Orders for Dialysis Schedule
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 update a resident's physician orders to accurately reflect the current dialysis schedule. Clinical record review showed that a resident with end stage renal disease had a physician's order for hemodialysis three days a week (Monday, Wednesday, and Friday) at a local dialysis center. However, nursing progress notes and staff interviews confirmed that the resident had been attending dialysis four days a week, including Thursdays, for several weeks. Staff acknowledged that the physician's order had not been updated to include the additional day, despite the change in the resident's treatment schedule.