Failure to Implement Pharmacy Recommendations for Medication Administration
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 act on pharmacy recommendations in a timely manner for one of three residents reviewed. Resident R78, who had a medical history including transient ischemic attack, cerebral infarction, dementia, difficulty walking, muscle weakness, and unsteadiness, was prescribed Diclofenac sodium gel for arthritis pain. During a drug regimen review, the pharmacist recommended specifying the gram strength in the administration directions for Voltaren Gel, advising 4 grams for lower extremities and 2 grams for upper extremities. Despite this recommendation, the facility did not implement the suggested changes, as confirmed by the Director of Nursing, and the recommendation remained unaddressed.