Failure to Assess and Supervise Medication Self-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 determine whether it was clinically appropriate for a resident with dysphagia to self-administer medications. According to the facility's policy, medications are to be administered by licensed nurses or authorized staff as ordered by a physician. Record review showed that the resident did not have a physician's order for self-administration of medications. During observation, a pill in a medicine cup with pudding was found left at the resident's bedside without nursing staff present. Interview with the assigned nurse confirmed that medications, including a crushed medication and an uncrushed Protonix tablet, were left at the bedside, and the nurse acknowledged this should not have occurred.