Oxygen Flow Rate Not Set per Physician Order
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 ensure that a resident's supplemental oxygen therapy was administered according to the physician's orders. The resident, who had a history of COPD and respiratory disorder, was observed on multiple occasions to be receiving oxygen at a flow rate of four liters per minute via nasal cannula, despite a physician's order specifying two liters per minute as needed for shortness of breath. Staff confirmed that the oxygen flow rate was set higher than ordered, and the resident denied adjusting the oxygen rate themselves. This discrepancy between the ordered and administered oxygen flow rate was observed over several days and was confirmed by staff during the survey.