Failure to Obtain Ordered Laboratory Tests
Penalty
Summary
Facility staff failed to obtain laboratory studies as ordered by the physician for one of three residents reviewed. Specifically, a resident with diagnoses including malignant neoplasm of the brain, diabetes mellitus, and hypothyroidism had physician orders for a CBC and CMP on two separate occasions. The clinical record did not contain documented evidence that the required bloodwork was obtained on either occasion as ordered. Interviews with the Director of Nursing and the Nursing Home Administrator confirmed that there was no documentation showing the laboratory tests were completed for the resident. The deficiency was identified through clinical record reviews and staff interviews, which verified that the facility did not follow physician orders regarding laboratory testing for the resident.