Failure to Complete Physician-Ordered Laboratory Tests
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
The facility failed to ensure that laboratory tests ordered by a physician were completed for a resident with dementia and osteoarthritis. According to the resident's admission record and quarterly assessment, the resident had severe cognitive impairment and was to receive specific lab tests every six months as ordered by the physician. Review of the health record showed that the last lab results were from January 2024, with no evidence that the required labs for July 2024, January 2025, and July 2025 were completed. Interviews with staff confirmed that these lab tests had not been performed, despite the facility's policy requiring staff to process and arrange for ordered diagnostic and lab testing.