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F0658
E

Failure to Administer Ordered Antidiabetic Medications as Prescribed

New Orleans, Louisiana Survey Completed on 01-15-2026

Penalty

No penalty information released
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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 deficiency involves the facility’s failure to ensure medications were administered according to physician orders for three residents with diabetes. Resident #1 had an order for Lantus 26 units subcutaneously twice daily at 8:00 AM and 8:00 PM, starting 08/19/2025. Review of the December 2025 eMAR showed no documented evidence that the 8:00 AM Lantus dose was given on 12/11, 12/12, 12/16, 12/17, 12/18, 12/19, 12/22, and 12/25. The January 2026 eMAR likewise showed no documented evidence of the 8:00 AM Lantus dose on 01/01, 01/02, 01/05, 01/06, 01/08, and 01/12. In an interview, the LPN (S3) stated she did not administer Resident #1’s Lantus on the dates noted, and the DON (S1) confirmed that the Lantus had not been administered as ordered and should have been. Resident #2 had a diagnosis of diabetes mellitus without complications and a physician’s order for Ozempic 0.25 mg subcutaneously once weekly on Friday mornings, starting 12/12/2025. The January 2026 eMAR showed the Ozempic dose was not administered on the scheduled morning, 01/02/2026, and S3 LPN confirmed in interview that she did not administer the medication; S1 DON stated the resident should have received Ozempic as ordered. Resident #3, with type 2 diabetes mellitus, had an order for Humulin 70/30, 24 units subcutaneously at 8:00 AM before breakfast, starting 07/07/2024. The December 2025 eMAR showed no documented evidence that the 8:00 AM Humulin 70/30 dose was administered on 12/02, 12/05, 12/16, 12/17, 12/23, 12/26, 12/29, and 12/31, and the January 2026 eMAR showed missing administrations on 01/02, 01/05, 01/06, 01/07, and 01/14. S3 LPN stated she did not administer the Humulin 70/30 on the listed dates except 12/23/2025, and S6 LPN stated she did not administer it on 12/23/2025; S1 DON indicated Resident #3 should have received Humulin 70/30 as ordered.

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