Failure to Administer Ordered IV Antibiotics and Respiratory Treatments
Penalty
Summary
Facility staff failed to administer medications and treatments as ordered by the physician for Resident #302, who was admitted with pneumonia. Review of the resident’s January 2026 Medication Administration Record on 1/29/26, conducted with the Director of Nursing, showed no documentation that multiple ordered medications and treatments were given. Specifically, there was no documentation that the PICC line was flushed every shift as ordered on the night shift of 1/7/26 and the day shift of 1/10/26. In addition, there was no documentation that Acetylcysteine solution 10 ml by inhalation every 6 hours was administered on 1/8, 1/9, and 1/10/26 at 6 AM, on 1/11/26 at 12 PM and 6 PM, and on 1/12/26 at 6 PM. There was also no documentation that Albuterol sulfate 3 ml via nebulizer every 6 hours was administered on 1/8, 1/9, and 1/10/26 at 6 AM, or that Piperacillin 4.5 grams IV every 6 hours for pneumonia was administered on 1/8, 1/9, and 1/10/26 at 6 AM. In an interview on 1/29/26 at 10:28 AM, the Director of Nursing confirmed these findings. These omissions were identified for 1 of 5 residents reviewed during a complaint survey and demonstrated that the resident did not receive medications and treatments according to physician orders as required.
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