Failure to Accurately Document Medication Administration in eMAR
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
A deficiency occurred when the facility failed to ensure accurate documentation of medication administration in the electronic Medication Administration Record (eMAR) for a resident diagnosed with Parkinson's disease and anxiety. The resident had a physician's order for Sinemet 25-100 mg to be administered orally three times daily. Review of the eMAR for May 2025 showed that the administration of Sinemet at 10:00 PM was not documented on two specific dates. During interviews, the LPN responsible confirmed that the medication was administered on those dates but was not documented in the eMAR as required by facility policy. The administrator also acknowledged that the medication administration was not properly documented.