Failure to Administer Medications According to Physician Orders
Penalty
Summary
The facility failed to ensure that medications were administered according to physician orders for one resident among those sampled for timely medication administration. Facility records indicated that the scheduled morning medication pass was from 7:00 a.m. to 11:00 a.m., and facility policy required medications to be administered in a safe and timely manner as prescribed. Physician orders for the resident included multiple medications to be given in the morning or twice daily. However, a medication administration audit showed that on a specific date, all of the resident's morning medications were administered after the scheduled window, between 12:28 p.m. and 12:32 p.m. The Director of Nursing confirmed that these medications were given late and should have been administered by 11:00 a.m.