Failure to Accurately Administer and Document Medications as Ordered
Penalty
Summary
The facility failed to accurately administer medications as ordered for three residents. For one resident with a skin rash, family reported that staff were not applying an antifungal medication daily as prescribed. Review of the Medication Administration Records (MAR) confirmed that several doses were missed over two months. The Director of Nursing confirmed that if a medication was not documented as given in the MAR, it meant the medication was not administered. For another resident, medications including Lyrica, Rifaximin, Senna, and Sodium Chloride were scheduled to be given at specific times, but were observed being administered outside of the scheduled time. Similarly, a third resident was prescribed Metoprolol Tartrate and Apixaban to be administered via gastrostomy tube at set times, but these were also given late. The DON stated that medications should be administered within one hour of the scheduled time, and the facility's policy requires adherence to the six rights of medication administration, including right time and right documentation.