Failure to Administer Ordered Medication and Notify Physician
Penalty
Fine: $21,9586 days payment denial
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
A resident with diagnoses of dementia, anxiety, and bipolar disorder was admitted to the facility and had a physician's order for ziprasidone HCl (Geodon) 80 mg to be administered orally. The clinical record review revealed that the resident missed five doses of the prescribed medication for both AM and PM administrations. There was no documentation in the clinical progress notes indicating that the physician was notified about the missed doses. During an interview, the Director of Nursing confirmed that the facility failed to provide the ordered medication and did not notify the physician when the medication was unavailable, resulting in a failure to provide appropriate treatment and care as ordered.