Failure to Obtain Physician Order for CPAP Use
Penalty
Summary
The facility failed to obtain a physician's order for the use of a CPAP device for one resident who required non-invasive ventilation for sleep apnea. According to facility policy, an order specifying the use and settings of the CPAP device must be obtained from a practitioner. Documentation reviewed included an admission MDS assessment indicating the resident was cognitively intact and used non-invasive ventilation, a care plan referencing CPAP use per physician's order, and a nursing note confirming CPAP use at bedtime. However, there was no documented evidence of a physician's order for the CPAP, a fact confirmed by the Director of Nursing during an interview.
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