Failure to Complete Timely Physician Visit for Resident
Penalty
Summary
The facility failed to ensure that all required regulatory provider visits were completed for one resident. Record review showed that the resident, who was admitted with multiple complex diagnoses including unspecified atrial fibrillation, hypokalemia, acute on chronic diastolic heart failure, hypomagnesemia, urinary tract infection, sepsis, COPD, OSA, major depressive disorder with psychotic features, an open wound of the lower back and pelvis, presence of a prosthetic heart valve, severe sepsis without septic shock, chronic respiratory failure with hypoxia, and dependence on supplemental oxygen, did not receive the required physician onsite visit within 30 days of admission. Practitioner notes indicated that the first physician visit occurred later than the regulatory timeframe. This was confirmed during an interview with the current DON, who acknowledged that the required 30-day physician visit did not occur.