Failure to Ensure Availability and Administration of Prescribed Medication
Penalty
Summary
The facility failed to implement pharmaceutical services to ensure the availability and administration of prescribed medications for one resident. Specifically, a resident with diagnoses including diabetes, bipolar disorder, and hyperlipidemia was admitted and had a care plan to administer medications as ordered. The physician ordered Pregablim 150mg to be given once daily, but the Medication Administration Record (MAR) showed that the medication was not available and not administered on multiple days. The medication incident report confirmed that the resident missed doses of Pregablim over several consecutive days. The facility's policy required the pharmacist to review medication orders at the time of dispensing and to provide contingency and emergency medications for immediate needs. Despite this, the resident did not receive the prescribed medication due to its unavailability. The Director of Nursing confirmed that the facility did not ensure the availability and administration of the medication as required by policy and regulation.