Lack of Documentation for Continued Antibiotic Use
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 document a rationale for the continued use of antibiotic therapy for one resident who was receiving Cephalexin 250 milligrams daily as a prophylactic antibiotic for frequent urinary tract infections (UTIs). The resident's physician order sheet indicated a diagnosis of long-term use of antibiotics, but the medical record lacked any documentation or explanation justifying the ongoing antibiotic treatment. During an interview, the Director of Nursing confirmed that there was no documentation or rationale present in the resident's record to support the continued use of the antibiotic, as required by the facility's Antibiotic Stewardship policy.