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F0676
D

Failure to Follow Audiologist Recommendation for Earwax Removal

Chestertown, Maryland Survey Completed on 08-13-2025

Penalty

No penalty information released
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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

Facility staff failed to provide appropriate treatment to maintain a resident's ability to perform activities of daily living, specifically regarding vision and hearing concerns. A resident reported that their concerns about vision and hearing were not addressed by the facility. Medical records showed that the resident was referred for an ear exam due to decreased hearing, and the audiologist found impacted cerumen and recommended Debrox for earwax removal. However, there was no physician order for Debrox or documentation explaining why the recommendation was not followed. The Assistant Director of Nursing confirmed that the staff responsible did not place the order for Debrox as recommended by the audiologist.

See complete original report
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