Failure to Monitor Blood Sugar per Physician Orders
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's orders for a resident who was cognitively intact and required staff assistance for daily care, with diagnoses including joint prosthesis infection and diabetes mellitus. Physician's orders specified that the resident should receive 15 units of Glargine insulin subcutaneously at bedtime and as needed if blood sugar exceeded 300 mg/dl. However, a review of the Medication Administration Record for June and July 2025 showed no documented evidence that the resident's blood sugar was being monitored as ordered. This was confirmed by the Director of Nursing, who acknowledged the lack of documentation for blood sugar monitoring per physician's orders.