Failure to Administer Antibiotics and Wound Care as Ordered
Penalty
Summary
The facility failed to provide necessary care and treatment as ordered for three residents with infections or wounds. For one resident with severe cognitive deficits and a g-tube, physician orders for two antibiotics were not followed, as the medications were not administered on a specified evening, and there was no documentation or explanation for the missed doses. The nurse consultant was unable to provide further information regarding the omission. Another resident, who was cognitively intact and admitted with a surgical hip wound, did not receive wound care and dressing changes as ordered. Documentation showed incomplete wound assessments, with missing details about the wound's condition and progress. The treatment administration record did not reflect that dressing changes were performed according to physician orders, and weekly wound assessments were not consistently completed as required by facility policy. The nurse consultant confirmed that orders and documentation were not followed as directed. A third resident, also cognitively intact and receiving IV antibiotics for an abdominal abscess, did not receive several scheduled doses of meropenem as ordered. The medication administration record indicated missed doses on multiple occasions, with no explanation or documentation provided for these omissions. The nurse consultant was unable to offer additional information regarding the missed antibiotic administrations.