Failure to Obtain Ordered Laboratory Tests for Two Residents
Penalty
Summary
The facility failed to obtain ordered laboratory tests for two residents, resulting in missed CBC, CMP, BMP, and UA testing as prescribed by their physicians. For one resident with diagnoses including hypertension, dementia, and diabetes mellitus, physician orders dated 11/4/25 directed staff to obtain a CBC, CMP, and complete urinalysis. Review of this resident’s clinical record did not show any documentation that these laboratory tests were obtained or completed as ordered. For another resident with diagnoses including hypertension, hyperlipidemia, and depression, physician orders dated 12/31/25 directed staff to obtain a BMP and CMP, and an additional order dated 1/2/26 directed staff to obtain a complete urinalysis. Review of this resident’s clinical record likewise failed to show documentation that the BMP, CMP, and UA were obtained and completed as ordered. During an interview, the Nursing Home Administrator confirmed that the facility did not obtain the ordered laboratory services for these two residents.
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