Medication Administration Errors Result in Elevated Error Rate
Penalty
No penalty information released
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 deficiency occurred when a resident with multiple diagnoses, including a fractured left humerus and diabetes, did not receive medications as ordered by the physician. The physician's orders specified that the resident should receive a 500 mg Cranberry oral tablet and a Multivitamin oral tablet once daily. During medication administration, an LPN provided a 450 mg Cranberry tablet, which was the incorrect dose, and a Multivitamin with minerals, which was not the medication ordered. The LPN later acknowledged that both the dose and the medication administered were incorrect and indicated the need to clarify the orders with the physician. This incident contributed to a facility medication error rate of 6.9%.