Failure to Follow Physician Orders and Provide Appropriate Care
Penalty
Summary
The facility failed to follow physician orders and provide appropriate treatment and care for two residents. For one resident with diagnoses including hypertension, renal insufficiency, and heart failure, a physician order for Adalimumab injections every fourteen days was not followed, as the medication was omitted on one scheduled date. Additionally, neither the physician nor the resident's family were notified of this omission, as confirmed by the Director of Nursing. Another resident, who was cognitively intact and had diagnoses of hypertension, anxiety, and irritable bowel syndrome, had a physician order for a follow-up appointment with a Colo-Rectal surgery center. This appointment was cancelled by the facility, and all other appointments were placed on hold, despite the physician order. The Certified Registered Nurse Practitioner confirmed that only physical therapy appointments should have been cancelled, and the resident should have attended the Colo-Rectal appointment as ordered. The Director of Nursing acknowledged that the facility failed to ensure the resident received appropriate treatment and care.