Failure to Administer Medications as Ordered at Admission
Penalty
Summary
The facility failed to administer medications as ordered for a resident admitted with multiple diagnoses, including dysphagia, dysarthria, end stage renal disease, diabetes, and hypothyroidism. Medical record review showed that upon admission, the resident had physician orders for levothyroxine 175 mcg daily for hypothyroidism and aspirin 81 mg daily for stroke prevention. However, these medications were not properly entered into the resident's orders during the admission intake process, resulting in the resident not receiving aspirin until several days after admission and levothyroxine until several months later. The Director of Nursing confirmed that the medications were not administered as ordered due to this oversight. Facility policy requires medications to be administered according to physician orders and within required timeframes.