Failure to Provide Timely Pharmacy Services for Medications
Penalty
Summary
The facility failed to ensure that medications were received in a timely manner from the pharmacy for two residents. One resident with diagnoses including hypertension and congestive heart failure had a physician's order for trazodone to be administered nightly for insomnia. According to the Medication Administration Record, this resident did not receive the prescribed trazodone for three consecutive days because the medication was not delivered from the pharmacy and was not available in the facility's medication dispensing system. Another resident with dysphagia and a history of aspiration pneumonia, who was dependent on a feeding tube, had a physician's order for a scopolamine transdermal patch to be applied every 72 hours for nausea. The Medication Administration Record indicated that the patch was not applied on two separate days due to it not being available, as it had not been sent to the facility in a timely manner after being reordered from the pharmacy. The facility's Pharmacy Services policy requires routine and timely pharmacy services, but this was not met in these instances.