Failure to Observe Medication Administration
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 a resident with a history of encephalopathy, malnutrition, psychotic disorder with hallucinations, major depression, and insomnia, and who was assessed as having moderately impaired cognition, was found in bed holding a medication cup containing three pills. The resident's eyes were closed and they could not be verbally aroused. Observation and staff interview confirmed that the LPN had not observed the resident consume the medications, which included Olanzapine and Baclofen. Facility policy requires staff to observe residents taking their medications, but this procedure was not followed in this instance, resulting in medications being left with the resident and not ensuring their consumption.