Medication Administration and Documentation Deficiencies
Penalty
Summary
The facility failed to ensure medications were administered according to professional standards for three residents. One resident received ciprofloxacin at twice the prescribed dose for three days due to a transcription error by an RN, and the medication lacked an expiration label. Another resident was given the wrong medications, including Eliquis, metoprolol, and omeprazole, with no documentation of the required vital sign monitoring following the error. Additionally, a third resident, who required assistance with medication administration as indicated by their assessment, had medications left at the bedside by a nurse without confirmation that the medications were taken. These deficiencies were identified through interviews and record reviews, which revealed incorrect transcription of physician orders, lack of proper medication labeling, administration of incorrect medications, and failure to follow self-administration protocols. Documentation of required monitoring and staff education following medication errors was also missing, contributing to the facility's failure to meet pharmaceutical service standards for the residents involved.