Failure to Provide Timely Pharmaceutical Services for Anxiolytic Medication
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 provide pharmaceutical services to meet the needs of a resident diagnosed with generalized anxiety disorder and major depressive disorder. The resident had a physician's order for Lorazepam to be administered three times daily for anxiety. Review of the medication administration record showed that on two occasions, the Lorazepam was not administered as indicated by 'NN' (no/see nurse notes), and there were no corresponding nursing progress notes documenting the missed doses. Further investigation revealed that the pharmacy did not dispense the Lorazepam refill because a new prescription was required, and the necessary prescription was not obtained and sent to the pharmacy before the resident ran out of medication.