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F0757
D

Failure to Implement Pain Scale and Non-Pharmaceutical Interventions Prior to PRN Narcotic Administration

Lancaster, Pennsylvania Survey Completed on 04-11-2025

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

The facility failed to implement a pain scale for the administration of Hydromorphone as recommended by the consultant pharmacist and agreed to by the nurse practitioner for a resident with diagnoses including encephalopathy, osteoarthritis of the left shoulder, and chronic tension headaches. Despite the recommendation, review of the resident's Medication Administration Records (MAR) for March and April 2025 showed no evidence that a pain scale was added to the physician's order. Additionally, documentation did not show that non-pharmaceutical interventions were attempted prior to administering the PRN Hydromorphone, as required. The resident received Hydromorphone multiple times for varying pain levels, including instances where pain was documented as zero.

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