Failure to Administer Physician-Ordered Medications Due to Unavailability
Penalty
Summary
The facility failed to administer physician-ordered medications as prescribed for two residents reviewed for medication administration. For one resident with multiple diagnoses including bipolar disorder, depression, and migraine disorder, the medication administration record showed that several essential medications, such as cyanocobalamin, lysine, topiramate, and Venclexta, were not administered as ordered. The records indicated that these medications were coded as not given, with progress notes stating the medications were not available for administration during the specified period. Another resident with diagnoses including heart disease, urinary tract infection, and COPD also did not receive several prescribed medications. The medication administration record documented missed doses of Breztri inhaler, methylprednisolone, and cefdinir, all coded as not administered due to unavailability. The DON confirmed that the medications were not available at the time they were scheduled to be given, resulting in missed doses for both residents.