Failure to Follow Physician's Medication Order Based on Blood Pressure Parameters
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 a physician's order for a resident with diagnoses including heart failure, diabetes, and chronic kidney disease. The order specified that midodrine hydrochloride should be administered three times daily for hypotension, but only if the resident's systolic blood pressure (SBP) was 120 mm/Hg or lower. Clinical record review showed that staff administered the medication multiple times in June, July, and August when the resident's SBP exceeded 120 mm/Hg, contrary to the order. This was confirmed by the Administrator during an interview.