Failure to Obtain Ordered Daily Weights for Resident on Dialysis
Penalty
Summary
The facility failed to obtain and document daily weights as ordered by the physician for a resident with congestive heart failure and end stage renal disease who was receiving hemodialysis. The resident was admitted on 12/12/2025 with a physician’s order for daily weights starting that same date. Review of the electronic medical record showed that no weights were recorded on 12/17/2025, 12/18/2025, and 12/19/2025, despite the active order. During interviews on 02/24/2026 and 02/25/2026, the Director of Nursing confirmed there was no documented evidence that weights were obtained on those dates and acknowledged that the weights were not obtained as ordered, without offering an explanation for the missed weights. This deficiency is based on record review and staff interviews demonstrating that the facility did not provide treatment and care in accordance with physician orders for daily weights for this resident.
