Failure to Follow Physician's Order for BIPAP Use During Sleep and Naps
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 follow a physician's order for respiratory care for one resident who required the use of a BIPAP machine with oxygen at 3 LPM during sleep and naps. On three separate occasions, the resident was observed resting in bed during nap times without the BIPAP machine turned on, and the mask was found on the bedside table rather than in use. The physician's order, dated 07/14/25, specifically required the BIPAP to be used at bedtime and while napping. An RN confirmed that the resident should have had the BIPAP on during naps, indicating the order was not followed as required.