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F0658
D

Failure to Follow Medication Administration Policy

Shelby, Montana Survey Completed on 05-07-2025

Penalty

Fine: $84,870
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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

Facility staff failed to follow professional standards and facility policy regarding medication administration by pre-pouring medications for multiple residents. During an observation, a staff member was found with eight plastic medication cups filled with medications in the medication cart, which she stated was allowed if administered within the hour. However, interviews with other staff and review of the facility's medication administration policy confirmed that pre-pouring medications is not permitted, and the policy requires nurses to prepare and administer medications to one resident at a time. The staff member involved acknowledged her error and stated she was aware that pre-pouring was not allowed.

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