Failure to Administer Prescribed Eye Drops Due to Medication Unavailability
Penalty
Summary
The facility failed to administer Latanoprost 0.005% ophthalmic solution as prescribed to one resident diagnosed with glaucoma. The resident's physician order and care plan both directed staff to administer the eye drops in each eye at bedtime, starting from the date of admission. However, the medication was not available and was not administered on multiple days during the resident's initial stay, as documented in the Medication Administration Record. The resident reported not receiving the medication for the first ten days and stated that nursing staff informed him it was on order. The Director of Nursing confirmed that the medication was not available for the first ten days of the resident's admission. Facility policy requires that medications be administered timely and in accordance with orders.