Patient developed a bed sore and was not seen by a doctor until six days later

The Centers for Medicare and Medicaid Services (CMS) cited SummitRidge for nursing care violation, finding that the facility did not provide consistent wound assessment and care to a patient. The patient was classified as a “total care patient,” requiring assistance with all activities of daily living. On the sixth day after admission, nurses documented a stage 2 sacral decubitus wound (bed sore) that apparently was not present on admission. There was no documentation indicating that a physician was notified,or that nursing staff evaluated the wound on days 9 and 10.  A physician finally assessed the patient’s wound on day 12 of the hospital stay, who noted a 2 centimeter area of skin breakdown surrounded by 8 to 9 centimeters of redness.