Failure to Administer and Document Blood Sugar Monitoring as Ordered
Penalty
Summary
The facility failed to ensure that blood sugar monitoring was performed as ordered for Resident #55, who had diagnoses including heart failure, type 2 diabetes, atrial fibrillation, and low back pain. The resident had a physician's order for a Dexcom G7 Sensor to monitor blood sugars every ten days. Review of the Medication Administration Record (MAR) showed that the sensor was not administered on several occasions, including a period from 08/20/25 to 09/18/25, and there were blank entries and missed documentation regarding administration. Additionally, there was no documentation in the progress notes indicating any further attempts to administer the sensor during this time. The Director of Nursing confirmed these findings. Facility policy required medications to be administered as ordered, recorded on the MAR, and for explanatory notes to be entered if a medication was not given, which was not followed in this case.