Failure to Follow Physician Orders for Pain Medication Administration
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
Facility staff failed to administer pain medication in accordance with physician orders for one resident. The resident, who had diagnoses including hemiplegia, hemiparesis, chronic obstructive pulmonary disease, and pain, had a physician's order for Percocet 5-325 mg every 6 hours as needed for severe pain rated 8-10. However, review of the medication administration record showed that Percocet was given on multiple occasions when the resident's documented pain level was below the threshold specified in the order, including pain levels of 0, 5, and 6. This was confirmed by the Director of Nursing during an interview, who acknowledged that staff did not follow the physician's orders for pain management.