Medication Labeling Discrepancy Identified
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
The facility failed to ensure that the pharmacy label for a resident's medication matched the current physician's order. During medication administration, an LPN was observed giving one tablet of Sevelamer Carbonate to a resident, while the pharmacy label on the medication bottle indicated a dosage of two tablets before meals and at bedtime. The LPN confirmed that the physician's order had been changed to one tablet, but the label had not been updated to reflect this change. The Director of Nursing also acknowledged that the label should have been changed to match the physician's order. This discrepancy was identified through observation and staff interviews.