Failure to Administer Physician-Ordered Treatments
Penalty
Summary
Facility staff failed to administer prescribed treatments according to physician orders for two residents. One resident was admitted with dermatitis and was prescribed Clotrimazole by the wound physician. Although the resident received the medication initially, there was a lapse in administration from the end of July through mid-August, despite ongoing physician orders and documentation that the rash had not resolved until later in August. The Director of Nursing confirmed that the treatment should have continued during this period. Another resident with a history of cerebrovascular disease, diabetes, and peripheral vascular disease was admitted with a right foot wound and later underwent a partial foot amputation. The wound physician provided specific treatment orders for the resident's right lateral foot wound. However, review of the treatment administration records revealed that staff failed to provide the ordered wound care during several periods over multiple months. The Director of Nursing acknowledged these lapses in treatment provision.