Improper Wound Care Following Spinal Surgery Due to Double Briefing
Penalty
Summary
The deficiency involves the facility’s failure to provide treatment and care in accordance with professional standards of practice and the comprehensive plan of care for one resident following spinal surgery. The resident had diagnoses including spinal stenosis and hypertension and had recently been hospitalized for spine surgery, resulting in a wound/incision closed with staples that was ordered to be left open to air. Review of the clinical record showed that the surgical site required exposure to air, but documentation and an Employee Progress Discipline Notification indicated that the nurse aide assigned to the resident applied double briefs, covering the area despite knowledge that the site needed to remain open to air. In an interview, the Director of Nursing confirmed that the resident should not have been provided with briefs covering the surgical site and that the care provided was inconsistent with the resident’s ordered wound 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.