Insulin Administration Not Provided as Ordered
Penalty
39 days payment denial
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 a resident received insulin as ordered by the physician. Medical record review showed that a resident with multiple diagnoses, including diabetes, was admitted and had a physician's order for Novolog Flexpen three units subcutaneously before meals. The electronic medication administration record (eMAR) and progress notes indicated that the resident's insulin doses were held on several occasions without any documented parameters or physician notification. The Director of Nursing confirmed that nurses are required to notify the physician prior to holding insulin without parameters or if the resident refuses, and verified that this protocol was not followed for the identified dates.