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
F0658
D

Nurse Administers Resident Medication to Staff Member

Eureka, California Survey Completed on 08-06-2025

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

A licensed nurse failed to follow professional standards by removing a dose of propranolol, a prescription medication intended for a resident with hypertension, from the medication cart and offering it to an unlicensed staff member who reported experiencing anxiety. The staff member took the medication from the nurse but ultimately disposed of it in a hopper without ingesting it. The medication was specifically labeled for a resident who had an active physician's order for propranolol 40 mg three times daily for hypertension. The nurse had full access to the medication cart and did not have a physician's order to administer the medication to the staff member. Facility policy and the nurse's job description both require that medications be administered only as ordered by a physician and only to the intended resident. Interviews with staff confirmed that nurses are not permitted to give resident medications to staff, as these medications are not prescribed for them and could cause unknown side effects. The incident was observed on security cameras and verified through interviews with the involved staff, including the nurse who admitted to giving the medication to the staff member.

An unhandled error has occurred. Reload 🗙