Failure to Discontinue Medications as Ordered
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
The facility failed to ensure that physician orders were written and followed for one resident. According to facility policy, verbal orders from a physician must be communicated to the nurse and followed through with appropriate documentation. For one resident, an admission MDS assessment indicated the resident was cognitively intact and required assistance with daily care. A pharmacist's recommendation to discontinue aspirin and famotidine was reviewed and signed by the physician, but there was no documentation in the clinical record that these medications were discontinued as ordered. The DON confirmed that the orders to discontinue the medications were not carried out as required.