Inaccurate Medication Administration Documentation
Penalty
Summary
The facility failed to maintain accurate medical records for one resident when the Medication Administration Record (MAR) indicated that medication was administered on two specific dates, despite the resident having left the facility and receiving the medication from an outside provider. Review of the outside provider's Medication Dosing Log confirmed that the medication was administered at their facility on those dates. During an interview, the Director of Nursing confirmed that the resident did not receive the medication in the facility, but rather from the outside provider. This resulted in the MAR reflecting inaccurate documentation of prescribed medication, contrary to accepted professional standards for medication administration and recordkeeping.