Delayed Reporting of Suspected Medication Diversion
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 submit a Facility Reported Incident regarding a possible diversion of narcotic medications to the State Survey Agency within the required timeframe. On 05/30/2025, the facility became aware of multiple controlled medication errors and identified a registered nurse as responsible for the discrepancies. Despite this, the incident was not reported to the State Survey Agency until 06/02/2025. During an interview, the Nursing Home Administrator stated that corporate advised against immediate reporting while the facility continued its internal investigation to determine if misappropriation had occurred, resulting in a delayed report beyond the mandated period.