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F0684
D

Failure to Follow Physician's Orders for Dermatology Consult

Sandwich, Illinois Survey Completed on 08-27-2025

Penalty

No penalty information released
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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 follow physician's orders for a dermatology consult for a resident with a persistent body rash that had been ongoing since July 2025. The resident was observed with a red, scabby rash covering his arms, abdomen, and inner thighs, and reported ongoing itching and discomfort. Despite being treated with Permethrin Cream for suspected scabies in July, the rash persisted. Progress notes from early August indicated a referral to dermatology was needed and that the resident's power of attorney agreed with this plan. However, the facility scheduler was unaware of the need for the appointment and had not scheduled it, resulting in a significant delay in obtaining the dermatology consult as ordered by the physician.

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