Failure to Timely Acquire and Administer Prescribed Medication
Penalty
Summary
The facility failed to ensure the timely acquisition and administration of a prescribed medication for one resident. According to the clinical record, a resident with dementia and lactose intolerance was prescribed Lactaid Fast oral tablets to be given with meals. The medication administration record (MAR) showed that the Lactaid was not administered on multiple occasions, specifically thirty-three times between early and late June, with no documented reason for the omissions. The MAR was marked to indicate 'other/see progress note,' but no explanation was found in the clinical record for the missed doses. A nursing progress note later indicated that the DON informed the physician that the Lactaid had been unavailable for several weeks. It was also noted that the resident did not receive milk on meal trays due to their intolerance. Staff interviews confirmed the findings related to the failure to ensure the timely acquisition and administration of the prescribed medication, as required by facility policy and physician orders.