Failure to Provide Timely Pharmacy Services
Penalty
Summary
The facility failed to ensure that pharmaceutical services were provided in a timely manner to meet the needs of two residents. For one resident admitted with multiple diagnoses including hypertension, hyperlipidemia, COPD, and post-surgical aftercare, physician admission orders were written for several medications to begin on a specified date. However, review of the Medication Administration Record (MAR) showed that these medications were not administered as ordered, and staff notes indicated they were waiting for delivery from the pharmacy. Similarly, another resident admitted with hypopituitarism had physician orders for Desmopressin Acetate and Hydrocortisone to begin on a specified date. The MAR revealed these medications were also not administered as ordered, with staff documentation stating they were awaiting pharmacy delivery. The Director of Nursing confirmed that both residents did not receive their prescribed medications on time due to unavailability from the pharmacy.