Failure to Administer Medications on Schedule
Penalty
Summary
A resident reported receiving medications several hours late. Review of the resident's Medication Administration Audit Report confirmed that multiple morning medications, including Metamucil, Lasix, Buspirone, Lamotrigine, Bactrim DS, and Mounjaro, were administered significantly later than their scheduled times. Specifically, medications scheduled for 9:00 AM were given between 11:37 AM and 2:23 PM on the same day. During an interview, the Director of Nursing acknowledged that the medications were documented as being administered late and stated that while it is possible the medications were given on time but documented late, the expectation is for medications to be administered and documented at the scheduled time. The findings were based on resident interviews, record reviews, and staff interviews, confirming that the facility failed to ensure medications were administered in accordance with professional standards of practice.