Failure to Administer Medications According to Physician Orders
Penalty
Summary
The facility failed to follow physician's orders for medication administration for two residents. One resident, with a history of a broken right lower leg, stroke, dementia, and muscle wasting, was hospitalized for rectal bleeding and upon return had a physician's order for Azithromycin to be administered daily for four days to treat Respiratory Syncytial Virus. However, review of the Medication Administration Record (MAR) showed that the antibiotic was not started until three days after the order was written. Another resident, diagnosed with congestive heart failure, kidney disease, heart disease, and respiratory failure, was identified in a complaint as not having received a newly ordered medication for four days. Facility documentation indicated that the medication was expected to arrive within a day or two, but the MAR confirmed that administration did not begin until four days after the order. The DON confirmed during an interview that both residents' medications were not administered as ordered and were given late.