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F0554
D

Failure to Assess Resident for Self-Administration of Medications

Philadelphia, Pennsylvania Survey Completed on 06-10-2025

Penalty

No penalty information released
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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 a resident was properly assessed for self-administration of medications. During an observation in the resident's room, a bottle of medicated lotion was found unsecured on the dresser, and a medication cup containing three white pills was left on the bedside table. The resident confirmed that nurses routinely leave medications in his room for him to take on his own. A licensed nurse verified that she provided the resident with his medication in the room but did not observe him taking it. The pills included two 5 mg tablets of baclofen, prescribed for chronic pain, and one 5 mg tablet of oxycodone, prescribed for pain. Review of the clinical record showed no evidence that the resident had been assessed for the ability to self-administer medications.

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