Medication Order Lacked Required Dosage and Application Site
Penalty
Summary
The facility failed to ensure that services were provided according to professional standards of practice for one resident reviewed for unnecessary medications. Specifically, a physician's order for Voltaren Arthritis Pain External Gel 1% (Diclofenac Sodium Topical) for the resident, dated 4/28/2025, did not specify the dosage or the specific area for application. During an interview, the DON confirmed that the order lacked both the dosage and the location for application, and stated that her expectation was for all orders to include this information. Review of the facility's medication administration policy indicated that medications should be administered as prescribed by the physician, and that unclear or excessive dosages should prompt staff to contact the physician or medical director for clarification.