Failure to Administer Medications on Time as Ordered
Penalty
Summary
The facility failed to provide services that meet professional standards of quality by not administering medications on time as ordered for three out of eleven sampled residents. According to the facility's policy, medications are to be administered no more than one hour before or after the scheduled time. For one resident with diagnoses including congestive heart failure, anxiety, and depression, evening medications scheduled for 8:00 p.m. and 9:00 p.m. were administered significantly late, at 10:14 p.m. and 10:25 p.m. The resident confirmed not receiving medications at the expected times, and the Director of Nursing verified the late administration upon review of the medication administration record. Additionally, another resident was observed receiving multiple morning medications due at 9:00 a.m. at 11:36 a.m., with the LPN confirming the late administration. A third resident's medications, due at 8:00 a.m. and 9:00 a.m., were also administered late, as confirmed by both observation and staff interview. These findings demonstrate that the facility did not adhere to its own medication administration policy, resulting in late delivery of prescribed medications for multiple residents.