Failure to Update Care Plan for Resident on Oxygen Therapy
Penalty
Summary
The facility failed to revise the comprehensive care plan to include a resident’s prescribed oxygen (O2) therapy. Record review showed the resident was admitted on a specified date and had a physician’s order dated 12/16/25 for O2 at 2 LPM via nasal cannula. However, review of the resident’s care plan dated 12/23/25 revealed that O2 use was not included as a care-planned intervention. During an interview, a CNA confirmed that the resident wears O2 every day, and the Regional Nurse Consultant acknowledged that the resident’s care plan should include O2 use but did not. The report states that if the facility is not updating the care plan to reflect the resident’s current care areas and treatment, then the facility may not be providing appropriate care and treatment to meet the resident’s needs. These findings demonstrate that despite an active physician order and daily use of O2, the resident’s care plan was not updated by the interdisciplinary team within the required timeframe to reflect this treatment, resulting in a deficiency related to care plan revision and coordination of care.
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.