Delay in Practitioner Notification of Urine Culture Results
Penalty
Summary
The facility failed to promptly notify a practitioner of laboratory results for one resident on transmission-based precautions. The resident’s clinical record showed that a physician ordered a urinalysis culture and sensitivity test on 12/8/25, which was collected by the contracted laboratory on 12/11/25. On 12/13/25, the laboratory relayed the urinalysis culture and sensitivity results to the facility by phone to an LPN (E24), but the resident’s progress notes contained no evidence that this nurse informed the resident’s physician or nurse practitioner of the results at that time. The results were not reviewed by the nurse practitioner (E23) until 12/15/25, two days after the facility had been notified of the findings. During an interview on 12/16/25, the ADON/IP (E22) and DON (E2) confirmed there was a delay in practitioner notification without explanation, and these findings were later reviewed with facility leadership at the exit conference.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.