Failure to Administer and Document Prescribed Medications as Ordered
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 prescribed medications were administered as ordered for one resident. Review of the resident's Medication Administration Record (MAR) for April 2025 showed that several medications, including Benztropine Mesylate, Divalproex Sodium ER, Olanzapine, and Trazodone, were not administered on specific dates as prescribed. The MAR indicated missed doses on 4/10/25 and 4/13/25 for these medications, with no documentation to explain the omissions. A registered nurse confirmed that if there is no entry on the MAR, the medication was not given. The facility's policy requires that all medication administration be documented on the MAR with the date, time, and nurse's initials.