Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0658
E

Failure to Administer Prescribed Anti-Rejection Medications After Admission

Silver Spring, Maryland Survey Completed on 10-09-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency occurred when a resident with a history of organ transplant did not receive prescribed anti-rejection medications, specifically Sirolimus and Tacrolimus, following admission from a hospital. The resident's hospital discharge summary included these medications, but a review of the facility's physician orders and Medication Administration Record (MAR) for the relevant period showed no orders or administration of these drugs. The omission was discovered after the resident's cardiologist, during a routine appointment, noted low therapeutic drug levels and requested a review of the resident's active medication list, revealing the absence of the necessary anti-rejection medications. Interviews and record reviews indicated that the failure to administer these medications resulted from multiple system failures during the admission process. The admitting nurse did not enter orders for the anti-rejection medications as listed on the discharge summary, and the pharmacy's medication regimen review also failed to identify the omission. Additionally, when the cardiologist requested lab troughs for the medications, staff did not question the absence of active orders for these drugs. These oversights led to the resident not receiving essential immunosuppressive therapy for an extended period.

An unhandled error has occurred. Reload 🗙