Failure to Administer Ordered Topical Treatments for Skin Conditions
Penalty
Summary
The facility failed to provide physician-ordered topical treatments for a resident with psoriasis and excoriation. During observation, the resident was noted to have multiple round, red, raised, and flaky areas on both upper and lower extremities, and the resident reported having psoriasis and eczema that had recently worsened. The resident’s care plan documented psoriasis and directed staff to apply Nystatin powder to abdominal folds and triamcinolone as ordered. Physician orders included triamcinolone acetonide 0.1% cream to affected areas twice daily on weekdays for psoriasis and an antifungal powder to the abdominal folds three times daily for excoriation. Review of the MAR for August showed that the triamcinolone cream had not been administered at all since it was ordered and that the antifungal powder was not documented as given for 50 out of 73 scheduled doses. A RN and the DON confirmed that the blank MAR entries indicated the medications were not administered as ordered.
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.