Failure to Hold Medication per Physician Order
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
Facility staff failed to follow physician orders regarding the administration of Midodrine for a resident with orthostatic hypotension. The resident had a specific order to hold the medication if the systolic blood pressure was above 130. Clinical record review showed multiple instances in June and July where the resident's systolic blood pressure exceeded 130, yet the medication was still administered. This was confirmed through review of the Medication Administration Records and an interview with the Director of Nursing, who, along with the surveyor, identified the occurrences where the medication was given contrary to the physician's order.