Penalty

No penalty information released

The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to implement the plan of care for one resident by not completing a STAT chest x-ray as ordered by the physician. The resident, who had multiple diagnoses including acute respiratory failure with hypercapnia, pneumonia, type 2 diabetes mellitus, spinal stenosis, hypertension, and dysphagia, was admitted on a specified date. A STAT chest x-ray was ordered on 04/18/2025, but the x-ray was not performed until the following day, 04/19/2025. Documentation confirmed the delay, and interviews with the LPN and DON verified that the x-ray should have been completed on the same day as ordered and that the physician was not notified of the delay.