Failure to Follow Physician's Fluid Restriction 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 fluid restriction for one resident diagnosed with acute congestive heart failure and acute kidney failure. The physician's order specified a daily fluid restriction of 2000cc, divided equally between nursing and dining services, with specific amounts allocated for each shift. However, a review of the Medication Administration Record showed that the resident's daily fluid allotment was not recorded for a period of ten days. This lapse was confirmed by the Director of Nursing during an interview, indicating that the physician's orders regarding fluid restriction were not adhered to as required by facility policy.