Failure to Update Care Plan for Antibiotic Therapy and PICC Line Care
Penalty
Summary
The facility failed to review and revise the interdisciplinary care plan to include accurate interventions for a resident who was receiving intravenous antibiotics and had a peripherally inserted central catheter (PICC) line. The resident, who had diagnoses including Systemic Lupus Erythematosus and Rheumatoid Arthritis, was readmitted in May 2025 and received multiple courses of antibiotics, including Vancomycin and Daptomycin via PICC line, and Amoxicillin-Pot Clavulanate by mouth. Upon review of the clinical record, there was no care plan addressing antibiotic therapy or PICC line care during the periods when the resident was receiving these treatments. The Unit Manager confirmed the absence of updated care plan interventions for these clinical needs and could not provide a reason for the omission. The Director of Nursing was informed of these findings during the survey.