Failure to Administer Ordered IV Antibiotics as Prescribed
Penalty
Summary
Facility staff failed to administer ordered IV antibiotics as prescribed for a resident with acute prostatitis. The resident was admitted in December 2025 with a diagnosis including acute prostatitis, and the hospital discharge summary ordered Ertapenem 1 gm IV daily through 1/30/26. Review of the January 2026 Medication Administration Record showed the resident did not receive the ordered Ertapenem dose on 1/30/26. The resident’s antibiotic regimen was later changed by the physician to Meropenem 2 gm IV every 8 hours on 2/4/26. Review of the February 2026 Medication Administration Record revealed no evidence that the resident received the scheduled Meropenem dose on 2/15/26 at 10:00 PM. In an interview on 2/25/26 at 8:30 AM, the Director of Nursing confirmed that facility staff failed to administer the ordered antibiotic medications on both 1/30/26 and 2/15/26.
