Failure to Administer Medications as Ordered by Physician
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
A registered nurse (RN) administered a multivitamin with minerals to a resident during a medication pass, despite the physician's order specifying only a multivitamin without minerals. The RN acknowledged the discrepancy during an interview and review of the resident's medication orders, confirming that she was unfamiliar with the resident's morning medications as she typically works the night shift. Facility policy requires that medications be administered only as ordered by a privileged provider and that the medication selected must match the order and product label prior to administration. The failure to verify and administer the correct medication as ordered resulted in a deviation from the physician's instructions.