Failure to Assess Resident for Self-Administration of Medication
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 ensure that a resident was assessed and evaluated for cognitive and physical ability to self-administer medications, as required by facility policy. The policy stated that residents may only self-administer medications after an interdisciplinary team determines it is safe. A resident with chronic kidney disease, COPD, and immunodeficiency was observed with an open, uncapped bottle of Icy Hot on the bedside table and reported self-administering the medication for shoulder pain. Review of the resident's medical record showed no documentation of a self-administration assessment for the Icy Hot. The Chief Clinical Officer confirmed that an assessment should have been completed but was not.