Failure to Follow Care Plan for Blood Pressure Restrictions
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 implement the care plan for a resident who had a restriction on blood pressure measurements and lab sticks in the left arm due to a mastectomy. Record review showed that, despite the care plan's special instructions, blood pressures were repeatedly taken from the resident's restricted left arm on multiple occasions over a two-month period. This was confirmed by documentation of specific dates and times when the restricted arm was used for blood pressure measurements. The Director of Nursing acknowledged that blood pressures should not have been obtained from the restricted arm.