Failure to Follow Physician's Orders for PRN 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 provide care in accordance with professional standards by not following physician's orders for pain medication administration for one resident. The resident had a PRN order for Tramadol 50 mg tablets, to be administered up to three times per day for severe pain, specifically when pain was rated between 7 and 10 on the pain scale. Record review showed that Tramadol was administered multiple times when the resident's pain level was documented as 4, 5, or 6, which did not meet the criteria specified in the physician's order. This discrepancy was confirmed by the Nursing Manager during an interview, who acknowledged that the medication was not given as ordered according to the pain scale.