Missed Wound Vac Changes for Resident with Surgical Wound
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure that wound treatments were completed as ordered for a resident with a surgical wound and a diagnosis of type 2 diabetes mellitus. The resident had a physician's order for a wound vac to be changed every three days, starting from a specified date. Review of the electronic treatment administration record showed that the wound vac was not changed on two scheduled dates in September, as required by the physician's order. During interviews, the DON confirmed that the wound vac changes were missed on those dates. Facility policy required that physician-ordered treatments be documented by staff after each administration, but this was not done for the missed treatments.