Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0684
E

Failure to Follow Physician Orders for Medication Administration and Monitoring

Reading, Pennsylvania Survey Completed on 08-14-2025

Penalty

No penalty information released
tooltip icon
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 administer medications and perform monitoring in accordance with physician orders for four residents. For one resident with hypertension, staff administered blood pressure medication on multiple occasions when the resident's systolic blood pressure was below the physician-ordered threshold and failed to document heart rate checks prior to administration as required. Another resident with atrial fibrillation and hypertension did not have blood pressure monitoring documented as ordered by the physician, despite repeated instructions in the care plan and physician notes to do so. A third resident with congestive heart failure and diabetes did not have daily weights obtained as ordered by the physician on several occasions across multiple months. The fourth resident, with hypertension and chronic kidney disease, received blood pressure medication without documented heart rate checks on numerous occasions, contrary to physician orders. These deficiencies were confirmed through review of facility policy, clinical records, and staff interviews. The Director of Nursing acknowledged that daily weights were not completed as ordered and that medications were administered outside of established parameters for the affected residents. The lack of adherence to physician orders and documentation requirements was evident in the medication administration records and care plans reviewed.

Plan Of Correction

Unable to correct past events. Current residents' medication and weight orders reviewed for proper evidence of documentation of residents' BP, HR, and weights. Current licensed staff re-educated on medication administration policy and procedure, weight policy and procedure, along with documentation policy and procedure. Random audits to be completed by DON/designee to ensure appropriate documentation of resident heart rate and BP prior to medication administration and appropriate weight documentation. Audits to be conducted weekly for 4 weeks and monthly for 2 months, with results to QAPI committee.

See complete original report
An unhandled error has occurred. Reload 🗙