Failure to Follow Physician Orders for Pain Management
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 follow physician orders for a resident with multiple chronic pain diagnoses, including osteoarthritis of the left knee, left hip pain, arthritis in the left hip, and lower back pain. The physician had ordered a Fentanyl transdermal patch to be applied every 72 hours for pain management. Review of the Medication Administration Records (MAR) showed no documentation that the patch was removed and reapplied as ordered between December 1 and December 6, 2025. The resident confirmed that the pain patch was not changed during this period, experienced pain, and reported it to nursing staff, but the patch was still not changed. The Nursing Home Administrator acknowledged that the medication was not administered properly.