Failure to Administer Physician-Ordered Pain Medication
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 ensure that medication was obtained and administered as ordered by the physician for one resident. According to the clinical record, the resident, who had diagnoses including rheumatoid arthritis and chronic pain, had a physician's order for Oxycodone 5 mg every six hours while awake for pain. Review of the Medication Administration Record showed that the resident did not receive Oxycodone for three doses on two consecutive days and missed an additional dose on a third day. The Nursing Home Administrator confirmed that the medication was not given as ordered due to nursing staff entering the order incorrectly, resulting in the resident not receiving the prescribed pain medication.