Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0695
D

Failure to Provide Safe and Appropriate Oxygen Therapy

Menomonee Falls, Wisconsin Survey Completed on 11-11-2025

Penalty

No penalty information released
tooltip icon
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 resident with chronic respiratory failure, COPD, and hypoxia, who is dependent on supplemental oxygen, did not receive oxygen therapy as ordered by the physician. The physician's order specified oxygen at 2 liters per nasal cannula to maintain oxygen saturation at or above 95%. However, observations revealed that the resident's oxygen concentrator was frequently set at 3.5 liters, exceeding the prescribed amount, and the oxygen tubing was not one continuous piece as required by an intervention following a previous incident. Instead, two oxygen tubes were connected together, contrary to the facility's stated intervention to prevent disconnection. On one occasion, the resident was found with disconnected oxygen tubing, resulting in an oxygen saturation of 80%. The ambulance crew discovered the disconnection at the connector, and the facility determined that the likely cause was the resident moving in bed and pulling the tubing apart. Despite this, subsequent observations showed that the resident continued to receive oxygen through two connected tubes, and the care plan was not updated to reflect the intervention of using a single continuous tube. Staff members, including a CNA and LPN, were observed providing care without adjusting the oxygen flow to the ordered rate, and the LPN was unaware of the correct physician order until informed by the surveyor. Additionally, the facility's care plans for oxygen therapy and respiratory conditions were not revised to include the intervention of using a single continuous tube, as discussed by the interdisciplinary team after the hypoxic incident. Multiple staff members failed to ensure the resident received oxygen at the prescribed rate and with the correct tubing setup, as evidenced by repeated surveyor observations and staff interviews.

An unhandled error has occurred. Reload 🗙