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F0684
D

Failure to Complete Physician-Ordered Neurology Referral

Hamilton, Ohio Survey Completed on 11-25-2025

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

The facility failed to follow a physician order for referral services for one resident with type II diabetes mellitus and polyneuropathy. The resident was referred to neurology by a nurse practitioner due to symptoms of left foot and leg heaviness, numbness, and difficulty lifting the leg and foot. Documentation in the medical record confirmed the referral was made and that the resident was informed. However, there was no evidence in the medical record that the resident was ever seen by a neurologist following the referral. Interviews with the Director of Nursing and the nurse practitioner confirmed they were unable to verify if the neurology consultation had occurred.

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