Failure to Provide Timely Anti-Seizure Medication
Penalty
Summary
The facility failed to ensure that anti-seizure medication was available and administered according to physician's orders for one resident with a diagnosis of seizures. The resident had a physician's order for lacosamide 50 mg to be given every morning and at bedtime. Review of the medication administration record for October showed that the bedtime dose on 10/24 and the morning dose on 10/25 were not documented as administered. A progress note indicated that the medication was unavailable at the time, and the pharmacy required a new prescription. The Corporate Nurse Consultant confirmed that the medication was supplied on a card from the pharmacy, allowing nurses to see when a refill was needed, and that the pharmacy had a prescription with refills available, but the medication was not received until after the resident had transferred out of the facility.