Failure to Assess and Document Resident's Ability to Self-Administer Medication
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
A cognitively intact resident was observed with fluticasone propionate nasal spray on their bedside table, which they reported using independently for nasal congestion over the past month or two. There was no documentation of a physician's order for the nasal spray, nor was there an assessment or care plan addressing the resident's ability to self-administer medications. Nursing staff were unaware of the resident's use of the medication at bedside, and the DON confirmed that no assessment for self-administration had been completed for this resident.