Failure to Provide Timely IV Antibiotic Therapy and PICC Care
Penalty
Summary
The deficiency involves the facility’s failure to ensure timely pharmaceutical services and a system to obtain ordered antibiotics, resulting in missed doses for a resident admitted for IV antibiotic therapy. Resident 3 was admitted for treatment of pneumonia and had a PICC line in the right arm. The 5-day admission MDS indicated the resident was cognitively intact and required substantial assistance with ADLs. An order for Meropenem-Sodium Chloride 1 gram IV every 8 hours was written on 12/13/2025, with the first dose due at 11:00 PM that night. However, the medication was not administered until 7:00 AM on 12/15/2025 because it was unavailable, resulting in four missed doses. Subsequent provider documentation on 12/19/2025 noted that lab results showed an increased white blood cell count and that the resident reported not feeling well, after which the resident was sent to the hospital. A hospital social worker reported that the resident expressed frustration about not receiving medications and treatments as ordered and stated fear for their well-being at the facility, with no intention of returning. Additionally, the DNS stated that the PICC should have been changed as ordered and that detailed instructions and interventions should have been added to the care plan.
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.