Failure to Notify Physician, Responsible Party, and Dietician of Worsening MASD
Penalty
Summary
The facility failed to notify a resident's legal representative, attending physician, and dietician regarding a worsening Moisture-Associated Skin Damage (MASD) area, specifically Incontinence Associated Dermatitis (IAD), located on the resident's intergluteal cleft. Documentation from a Skin and Wound Evaluation indicated the wound was in-house acquired, measured 39.5 cm2, and was deteriorating, with denuded skin due to exposure to bodily fluids. Notification sections for the physician, responsible party, and dietician were left blank, and there was no evidence in the electronic medical record or progress notes that these parties were informed. The Director of Nursing confirmed that the facility could not provide documentation of the required notifications.