Failure to Provide Ordered Medications Due to Unavailability
Penalty
Summary
The facility failed to provide medications as ordered for two residents during medication administration observations. In one instance, an LPN was unable to administer Zoloft, a medication prescribed for depression, to a resident because it was not available in the medication cart or in the facility's emergency medication supply (Omnicell). The nurse informed the resident that the medication had not arrived from the pharmacy and indicated she would notify the physician and pharmacy. In another instance, an RN was unable to administer the ordered dose of Coreg 12.5 mg, a medication used to treat heart failure, to a different resident because the correct dosage was not available in the medication cart or in sufficient quantity in the Omnicell. The nurse indicated she would notify the pharmacy and physician. The DON stated that it is expected for nurses to reorder medications from the pharmacy seven days before running out and to check the Omnicell if medications are not available, but acknowledged that medications should not run out.