Failure to Notify Physician When Medication Held
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
The facility failed to notify a resident's physician when doses of metoprolol, a blood pressure-lowering medication, were held due to low systolic blood pressure or low heart rate. Record review showed that the medication was withheld on multiple occasions in May 2025, as documented in the Medication Administration Record (MAR), but there was no evidence that the physician was informed of these occurrences. Both the Director of Nursing and the Regional Nurse confirmed, upon review of the MAR and nursing documentation, that there was no documentation of physician notification for the held doses.