Failure to Accommodate Resident and Family Preferences Prior to Medication Administration
Penalty
Summary
The facility failed to accommodate the specific needs and preferences of a resident as requested by the resident's family member. The resident, who had severe cognitive impairment, required substantial assistance with personal care and was dependent on staff for toileting and hygiene. The resident had a physician's order for Ativan to be administered via G-tube as needed for anxiety, with instructions to notify a family member prior to each dose. The family member also requested that the resident be fed and have their adult disposable diaper checked before Ativan was given. Record review and staff interviews revealed there was no documented evidence that the resident was fed or that their adult disposable diaper was checked prior to the administration of Ativan. Although the nurse stated the request was verbally communicated, it was not documented in the medical record or Medication Administration Record (MAR). The facility's policy required accommodation of individual resident needs and preferences to the extent possible, but this was not followed in this instance.