Failure to Update Smoking Care Plan for Resident on Oxygen Therapy
Penalty
Summary
The facility failed to update the care plan for a resident who was a smoker and had recently started using oxygen therapy. The resident, who had diagnoses including acute respiratory failure and congestive heart failure, was assessed as having moderately impaired cognition and required varying levels of assistance with daily activities. Despite documentation indicating the resident was a smoker and had a new order for oxygen via nasal cannula, the care plan did not include interventions to address the resident's oxygen use in relation to smoking. During observations, the resident was seen in the designated smoking area with a nasal cannula hanging on his chest. Interviews with nursing staff confirmed that the care plan had not been revised to reflect the new oxygen therapy, and the Director of Nursing acknowledged that smoking care plans should be updated and individualized to address such changes. The facility's policy required periodic review and revision of care plans based on residents' assessed needs, but this was not followed in this case.