Failure to Obtain Physician-Ordered Weekly Weights Due to Equipment Malfunction
Penalty
Summary
The facility failed to obtain physician-ordered weekly weights for one resident who was prescribed this monitoring due to a diagnosis of congestive heart failure and related medications, including Torsemide, Diltiazem, Metoprolol Succinate ER, and Aldactone. According to the facility's policy, residents are to be weighed monthly unless otherwise ordered by a physician. In this case, the physician ordered weekly weights to begin on 6/23/25. However, the resident was only weighed on three occasions between 6/23/25 and 8/17/25, and no weights were recorded from 7/8/25 through 9/3/25. The resident reported not being weighed due to a broken weighing machine, and facility staff confirmed that the mechanical lift with the scale had not been functioning since 7/10/25, resulting in the failure to obtain the required weights.