Failure to Follow Physician Orders for Pressure Ulcer Prevention
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
Surveyors observed that a resident did not have heel boots on as ordered by the physician, which are intended to help prevent pressure ulcers. During the observation, a nurse aide was questioned about the absence of the heel boots and stated she was unsure, as she had only recently started working on that hall. The nurse aide then retrieved the heel boots from under the sink and, after confirming with the resident that she wanted them on, placed them on her. It was confirmed by both the nurse aide and the Director of Nursing that the resident was not wearing the heel boots as per the physician's order at the time of the observation.