Failure to Develop Baseline Wound Care Plan Upon Admission
Penalty
Summary
A deficiency occurred when the facility failed to develop and implement a baseline care plan for wound care within 48 hours of admission for a resident who was admitted following hospitalization for sepsis related to necrotizing fasciitis and Fournier's gangrene of the right groin. The resident had a history of multiple debridements, extensive antibiotic therapy, and required a Foley catheter to maintain wound cleanliness. Upon discharge from the hospital, the resident had specific wound care orders, including the initiation of a wound VAC and vancomycin irrigation, as well as ongoing antibiotic therapy. Despite these complex medical needs and clear physician orders for wound care, the facility's care plan for the resident only included documentation for a Foley catheter and advanced directives, with no baseline care plan addressing wound care. This omission was confirmed during an interview with an LPN, who acknowledged that a baseline care plan for wound care had not been developed for the resident.