Failure to Administer Bowel Care Medications as Ordered
Penalty
Summary
The facility failed to follow professional standards of practice for bowel and bladder care for one resident with multiple diagnoses, including multiple sclerosis, malnutrition, and dementia. According to the physician's orders, the resident was to receive Miralax as needed if no bowel movement occurred for three days, followed by Dulcolax suppository and then a Fleets enema if there was no response to the previous interventions. Record review showed that the resident did not have a bowel movement for five consecutive days, from 6/1/25 through 6/5/25. Medication administration records indicated that none of the prescribed as-needed bowel care medications were administered during the first four days without a bowel movement, and the first intervention was not given until the fifth day. This was confirmed by the ADON, who acknowledged that the resident should have received medication on the fourth day but did not.