Failure to Adjust Amiodarone Dosing After Order Change
Penalty
Summary
The facility failed to ensure that a resident received medication in accordance with current prescriber orders and the person-centered plan of care. Facility policy on Medication Administration requires that medications be administered according to written prescriber orders. The resident had diagnoses including atrial fibrillation and anxiety and was ordered Amiodarone HCL 200 mg by mouth twice daily for atrial fibrillation starting on December 24, 2025. On January 6, 2026, a heart and vascular provider consultation documented a recommendation changing the Amiodarone dose to 200 mg once daily. Despite this updated order, review of the Medication Administration Record for January 1–31, 2026, showed nursing staff continued to administer Amiodarone 200 mg twice daily after the January 6 change. Nursing communication to the resident’s provider on January 16, 2026, documented that Amiodarone should only be given once a day and requested an update, confirming that the order had changed but the MAR and administration practices had not been adjusted between January 6 and January 16. The Director of Nursing confirmed that the medication should have been changed to once per day beginning January 6, 2026, in accordance with the physician’s order.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.