Failure to Provide Ordered Oxygen Therapy
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 provide respiratory services as ordered for a resident with diagnoses including sleep apnea and chronic obstructive pulmonary disease. A physician's order directed staff to administer oxygen at 2 liters per minute via nasal cannula at all times for every shift. However, on two separate occasions, the resident was observed lying in bed without the prescribed oxygen. The resident reported not having used her oxygen for some time and was unsure when it had stopped. The Assistant Director of Nursing confirmed that the facility was not providing the ordered oxygen therapy at the time of review.