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F0658
D

Delayed Medication Administration Due to Nurse Inattention

Bryn Mawr, Pennsylvania Survey Completed on 04-10-2025

Penalty

No penalty information released
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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

A licensed nurse failed to administer scheduled morning medications to a resident in accordance with facility policy and physician orders. The nurse was observed on the nursing unit two hours after the scheduled medication administration time, engaged in watching a training video on the facility computer instead of performing the medication pass. Upon inquiry, the nurse confirmed she was preparing to administer the resident's morning medications, which were due two hours earlier, and acknowledged that she still had additional residents to medicate. Facility policies require that medications be administered safely, timely, and in accordance with physician orders, specifying that medications must be given at the correct time. The nurse's actions resulted in a delay of medical treatment for the resident, as the medications, including Allopurinol, Amlodipine, Cholecalciferol, Dorzolamide, and Metoprolol, were not administered at the prescribed time.

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