Medication Error Rate Exceeds Regulatory Threshold
Penalty
No penalty information released
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Summary
The facility failed to maintain a medication error rate below 5%, as required by regulation. During observation, a registered nurse administered six medications to a resident outside the scheduled administration window, specifically at 10:45 a.m. when the medications were scheduled for 9:00 a.m. Review of the Medication Administration Record confirmed the timing discrepancy. Staff interviews revealed that nurses are expected to administer medications within one hour before or after the scheduled time, in accordance with facility policy. In this instance, the medications were administered beyond the allowed timeframe, resulting in six errors out of thirty-two medication opportunities and an overall error rate of 18.75%.