Failure to Provide Prescribed Medication Due to Staff Access Issues
Penalty
Fine: $21,519
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 the availability and administration of prescribed medication for one resident. Clinical record review showed that a resident with diagnoses of heart failure and chronic kidney disease was admitted to the facility and had a physician's order for Furosemide 40 mg daily starting on May 15, 2025. However, the Medication Administration Record indicated that the resident did not receive the medication from May 15 to May 18, 2025. During an interview, the Director of Nursing confirmed the missed doses and explained that agency staff working at the time of admission did not have access to the online system required to obtain the medication as ordered.