Failure to Assess Resident’s Ability to Self-Administer Eye Drops
Penalty
Summary
The facility failed to ensure that a resident who was self-administering medication was properly assessed for the ability to do so. Resident #4, admitted with multiple diagnoses including leukemia and rheumatoid arthritis, was observed on 1/22/26 at 8:34 AM when RN #1 placed a single-use vial of cyclosporine eye drops on her bedside table and told her she could use them whenever she wanted and to inform him later. The Interim DNS later stated on 1/22/26 at 9:44 AM that staff had observed Resident #4 appropriately self-administering her eye drops; however, the facility had not performed or documented any formal self-administration of medication assessment for this resident. This failure was identified for 1 of 1 resident whose record was reviewed for self-administration of medications assessment and was noted in the report as placing Resident #4 at risk for adverse outcomes if she were to use the medication inappropriately.
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