Failure to Obtain Physician Order for CPAP Use
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 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.