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F0697
D

Failure to Timely Refill and Administer Prescribed Pain Medication

Tallahassee, Florida Survey Completed on 09-19-2025

Penalty

No penalty information released
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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 administer prescribed pain medication and did not timely refill pain medication for a resident requiring such services. Record review and interviews revealed that the resident did not receive her nightly dose of MS Contin 75 mg ER for several days, as confirmed by her daughter. Pharmacy records indicated that the last refill requests were made on 7/2 and 8/4, with no further requests submitted after the supply ended on 8/31. Despite documentation on the Medication Administration Record indicating the medication was given, staff acknowledged that the medication was not available and was not administered from 9/10 to 9/13. The staff also confirmed that the medication should have been reordered in a more timely manner.

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