Medication Error Rate Exceeds 5% Due to Late Administration
Penalty
No penalty information released
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Summary
The facility failed to maintain a medication error rate of less than 5 percent, as required, with eight errors out of 30 opportunities, resulting in a 26.67 percent error rate. On one occasion, a resident with significant cognitive impairment and multiple diagnoses, including Parkinson's Disease, was not administered their scheduled morning medications at the prescribed time. The medications, which included carbidopa/levodopa, allopurinol, aspirin, cholecalciferol, finasteride, senna, furosemide, and metoprolol, were due at 7:00 AM but were not given until 9:06 AM. The late administration was acknowledged by the RN responsible and the Director of Nursing Services.