Failure to Administer PRN Pain Medication at Ordered Intervals
Penalty
No penalty information released
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
The facility failed to administer medication as ordered by the physician for one resident who was admitted with diagnoses including a right femur fracture, chronic ulcers on both lower legs, and gait abnormalities. The resident had a physician's order for Hydromorphone HCl 4 mg to be given orally every six hours as needed for pain. Record review revealed that the medication was administered at intervals shorter than the prescribed six hours on multiple occasions, with some doses given as little as 30 minutes apart. This deviation from the physician's order was confirmed by both the Director of Nursing and the Corporate Clinical Education staff upon review of the controlled drug records.