I can not tell you how many times I have seen a patient in respiratory distress at an SNF on a nasal cannula on 2 to 6 LPM. I have seen it at other types of facilities too. I often write the name on the nametag of the nurse who made this mistake in the run report so it can be investigated later. I hate to bad mouth SNF's since I have seen some good ones with very competent and caring staff, but I think some of them should be shut down this second.