Oxygen Therapy Administered Without Physician Order
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
A deficiency occurred when a resident with chronic obstructive pulmonary disease, congestive heart failure, and metabolic encephalopathy was admitted to the facility by ambulance with oxygen in place at 2 liters per minute. Nursing documentation and observation confirmed the resident continued to receive oxygen therapy via nasal cannula and oxygen concentrator. However, review of the resident's medical record revealed there was no physician order for oxygen therapy at any point during the resident's stay. Both the Administrator and Director of Nursing confirmed that an order should have been in place for the administration of oxygen, and facility policy requires a physician order for oxygen except in emergencies.