Medication Administration Errors Exceed Acceptable Rate
Penalty
Summary
The facility failed to administer medications as ordered, resulting in a medication error rate of 20%, which exceeds the acceptable threshold of 5%. Specifically, two residents were observed receiving their scheduled morning medications significantly late. One resident was prescribed Lyrica, Rifaximin, Senna, and Sodium Chloride to be administered at 9:00 AM, but these were given at 10:23 AM. Another resident was prescribed Metoprolol Tartrate and Apixaban for administration at 9:00 AM, but these were given at 10:47 AM. According to the facility's policy and the Director of Nursing, medications are considered late if administered more than one hour after the scheduled time. The survey identified 30 medication administration opportunities with 6 errors, all related to late administration, during the observed medication pass.