Oxygen Therapy Provided Without Physician Order or Care Plan
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice by administering oxygen therapy without a physician’s order or corresponding care plan for a resident who required oxygen. The resident was admitted with a diagnosis that included a UTI, and the hospital discharge summary documented a need for 1 L of oxygen via nasal cannula. Facility progress notes on multiple dates showed the resident was receiving oxygen via nasal cannula, yet record review did not reveal any physician’s order for oxygen therapy or a care plan addressing the resident’s oxygen needs. In interviews, an RN confirmed the resident had been receiving oxygen via nasal cannula since admission and stated that a physician’s order is usually in place when oxygen is required, and the DON similarly stated she would expect a physician’s order for continuous oxygen therapy. This deficiency was cited under the requirement to provide safe and appropriate respiratory care and was cross-referenced to F684.
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.