Failure to Provide Prescriptions at Discharge
Penalty
Summary
A resident with paraplegia was discharged from the facility to home, with the discharge plan indicating that written prescriptions for physician-ordered medications would be provided to the resident or their representative. The Discharge Summary and Plan Policy required that a discharge summary and post-discharge plan be developed, including a complete list of medications and arrangements for follow-up care. Documentation in the clinical record stated that discharge instructions were reviewed and medications were sent with the resident at the time of discharge. However, a follow-up discharge call revealed that the resident did not receive the necessary prescriptions for their medications. Further, an email from the home health agency confirmed that the resident was not discharged with an adequate supply of medication to last until the scheduled follow-up appointment. There was no documented evidence that the facility addressed the issue after being made aware that the resident had not received prescriptions at discharge. Facility leadership confirmed that the Discharge Summary incorrectly indicated prescriptions were provided and acknowledged that this did not occur.