Failure to Administer Ordered Medication
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
Nursing personnel failed to administer a prescribed medication as ordered for one resident. According to the facility's medication administration policy, nursing staff are required to ensure that medications match the physician's orders and are given in the proper dose. Record review showed that a resident with diagnoses including chronic obstructive pulmonary disease (COPD), gastroesophageal reflux disease (GERD), and unspecified psychosis was admitted and had a physician's order for Ondansetron 4 mg by mouth every 6 hours for three days. However, interviews with the Director of Nursing (DON) and Assistant Director of Nursing (ADON) confirmed that the resident did not receive the Ondansetron as ordered.