F0755

D

Late Medication Administration and Incomplete EMAR Documentation

Newburgh, Indiana Survey Completed on 02-10-2026

Penalty

No penalty information released

Summary

The facility failed to ensure medications were administered at the ordered times and properly documented on the Electronic Medication Administration Record (EMAR) for multiple residents during the morning medication pass. On 2/9/26 at 10:58 a.m., a Qualified Medication Aide (QMA 2) was observed preparing aspirin 81 mg and ferrous sulfate 325 mg for Resident D and searching for Lasix 40 mg in the medication cart. A Licensed Practical Nurse (LPN 3) then reported she had already given Resident D her morning medications but had not yet signed them off on the EMAR, which still showed the medications in red as not given. LPN 3 indicated she had been passing morning medications and had been called away to do other tasks, after which QMA 2 took over the medication pass.

Later that same morning, QMA 2 was observed preparing multiple medications for Resident B, including clonazepam 0.5 mg, escitalopram oxalate 10 mg and 20 mg, glimepiride 1 mg, tamsulosin 0.4 mg, metformin 500 mg, and meclizine 25 mg, and then preparing medications for Resident C, including aspirin 81 mg, Tylenol 325 mg (two tablets), atenolol 25 mg, citalopram 10 mg, celecoxib 100 mg, docusate sodium 100 mg, Refresh Tears ophthalmic solution (one drop in both eyes), and a cranberry capsule 500 mg. These medications for Residents B and C were scheduled on the EMAR for 8:00 a.m., but were being prepared and administered significantly later than the facility’s policy requirement of within one hour before or after the prescribed time. The facility’s medication administration policy also required the individual administering medications to initial the MAR after giving each medication and before administering the next ones, which did not occur for Resident D’s morning medications.