Failure to Ensure Availability of Routine Medications
Penalty
Summary
The facility failed to ensure the availability of routine medications for two residents, both of whom were assessed as having intact cognition. One resident, with diagnoses including heart failure, diabetes, and anxiety, reported missing some pills. Review of the Medication Administration Record (MAR) showed that several doses of Methocarbamol were not administered, with electronic MAR notes indicating the medication was not available at the time of administration. Another resident, diagnosed with severe obesity, anxiety, and depression, also reported missing medications due to unavailability. The MAR for this resident showed that multiple prescribed medications, including Fesoterodine Fumarate, Lexapro, Metolazone, Spironolactone, Naproxen, and Hydroxyzine Pamoate, were not administered as scheduled. The Director of Nursing confirmed issues with medication availability, particularly during a recent medication changeover, and facility policy required medications to be administered as ordered.