Failure to Administer Medications as Ordered
Penalty
Summary
The facility failed to administer medications as ordered by the physician for one resident. The resident, who had multiple diagnoses including fibromyalgia, heart disease, hypothyroidism, and major depressive disorder, had a physician's order for levothyroxine to be given at 7:00 AM and acetaminophen 500 mg, one tablet by mouth four times daily. During a morning medication pass, an LPN administered the levothyroxine later than the prescribed time and gave two tablets of acetaminophen instead of the ordered one tablet. The resident later stated that she needs to take her levothyroxine at 7:00 AM because she has to wait to eat. The facility's policy requires staff to follow prescribed medication times until reviewed by the facility pharmacist and discussed with the resident or responsible party.