Failure to Document Medication Disposition for Discharged Resident
Penalty
Summary
The facility failed to document the accounting and disposition of medications for Resident 121 upon discharge. Resident 121 was admitted to the facility on November 19, 2024, and expired and was discharged on November 21, 2024. Upon review of the clinical record during a survey ending on December 19, 2024, there was no documented evidence of the accounting of the resident's remaining medications or their disposition. This deficiency was confirmed during an interview with the Nursing Home Administrator on December 19, 2024, at 2:00 PM.
Plan Of Correction
Step I - Unable to retroactively address for closed chart for resident 121. Step 2 - Unable to go back and fix for any discharged resident. Step 3 - Education to licensed staff on disposition of medications for discharged and expired residents. Staff educator or designee. Step 4 - Random review of discharged residents to assure disposition of medications is completed and documented at time of discharge. Weekly times 4 monthly times 2. DON or designee. Step 5 - Results to QAPI monthly times 2.