Missed Medication Doses Due to Unavailability and Lack of Follow-Up
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
A deficiency occurred when a resident with diagnoses including heart failure and fluid overload did not receive nine doses of an ordered eye drop medication, Tetrahydrozoline solution, over a period of several days. The resident, who was cognitively intact and did not refuse care, reported to the surveyor that the eye drops were not administered for almost a week. Review of the Medication Administration Record confirmed that the medication was not given from 11/26/2025 to 11/30/2025 due to the medication being unavailable and not reordered in a timely manner. No follow-up was conducted to ensure the medication was obtained during this period.