Failure to Provide Safe and Appropriate Respiratory Care and Infection Control
Penalty
Summary
The facility failed to provide necessary and appropriate respiratory care and services for four residents, as evidenced by multiple deficiencies in following physician orders and facility policies. For one resident, there was no physician's order for suctioning, despite the presence of a suction machine and care plan interventions that required suctioning if secretions could not be cleared. The suction equipment was observed to have fluid residue and was not properly labeled or changed according to policy. Another resident's oxygen nasal cannula tubing was not stored in accordance with facility policy, as part of the tubing was left out of the storage bag and was touching the floor, creating an infection control concern. The resident's care plan also did not address the use of oxygen, despite an active physician's order for PRN oxygen administration. A third resident's nebulizer administration set-up was not changed every seven days as required by facility policy, and the storage bag for the nebulizer tubing was not labeled with the resident's name. For a fourth resident, there was no documentation that the CPAP machine's washable filter, mask, nasal pillows, and tubing were cleaned according to the manufacturer's guidelines and facility policy during the resident's stay. These failures were confirmed through observation, interviews with staff, and review of medical records and facility policies.