Failure to Ensure Availability of Prescribed Pain Medication
Penalty
Summary
The facility failed to ensure that a resident's prescribed pain medication, Hydrocodone-Acetaminophen 10-325 mg, was available for administration as ordered by the physician. Review of the medication records showed that the resident had zero tablets available after receiving the last dose on 08/29/2025 at 8:43 PM. The resident reported experiencing pain related to a previous fall and chronic pain during the night and morning following the last available dose, and stated that she requested her pain medication but was informed by nursing staff that it was not available because it had not been reordered. Staff interviews confirmed that the medication was not available when requested, and the LPN on duty was unable to administer the prescribed pain medication due to the lack of supply. The Staff Development/Charge Nurse/Infection Preventionist acknowledged that medications with active orders should be available for administration, and the Director of Nursing indicated that medications should be ordered from the pharmacy before running out. The deficiency was identified for one of three residents reviewed for medication administration.