Failure to Administer Medication as Ordered
Penalty
Summary
A deficiency was identified when a resident did not receive their prescribed medication, Lacosamide 150mg, as ordered by the physician. Medical record review showed an active order for the resident to receive Lacosamide 150mg by mouth twice daily. During observation and medication cart review, it was found that the controlled substance blister pack contained 8 tablets, while the facility's controlled substance count sheet indicated there should have been 7 tablets remaining after the previous dose was reportedly administered the night before. Staff interview confirmed that the resident had not yet received the medication during the current shift and that the blister pack count did not match the count sheet, indicating a failure to administer the medication as ordered.