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F0684
D

Failure to Perform Ordered Toe Skin Treatment and Document Care

Quakertown, Pennsylvania Survey Completed on 01-30-2026

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 provide ordered skin treatment for a resident with a history of toe infection. Clinical record review showed that since November 4, 2025, the physician had ordered staff to clean both great toes and apply an antibacterial ointment (bacitracin). During an interview on January 30, 2026, the resident reported that on January 27, 2026, the nurse did not perform this ordered toe treatment. Review of the Treatment Administration Records for that date revealed no documented evidence that nursing staff completed the prescribed cleaning and bacitracin application to both great toes as ordered by the physician. This deficiency was cited under 28 Pa. Code 211.12(d)(5) related to nursing services.

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