Failure to Implement Physician's Order for Anti-Embolic Stocking
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
Staff failed to implement a physician's order for a resident with a broken right ankle and diabetes, which required the daily application and nightly removal of an anti-embolic stocking to the left leg due to swelling. Clinical record review and direct observation on multiple occasions revealed that the anti-embolic stocking was not applied as ordered, despite nurses documenting on the Treatment Administration Record that the intervention was completed. The resident also reported never having the stocking applied to her left leg. The Director of Nursing confirmed that the order was not followed and that the documentation indicating otherwise was incorrect.