Medication Administered Without Appropriate Diagnosis-Based Indication
Penalty
Summary
The facility failed to ensure a resident’s drug regimen was free from unnecessary drugs by not verifying an appropriate indication for a prescribed medication consistent with the resident’s current diagnoses. Record review showed the resident was admitted with lymphedema, chronic pain, bipolar disorder, adjustment disorder, and hypothyroidism. The physician record contained an order for Carbidopa-Levodopa 25-100 mg, one tablet by mouth at bedtime, with the stated indication of Parkinson’s disease, starting 12/18/25. The Medication Administration Record for January 2026 showed the resident received this medication daily from 1/01/26 through 1/05/26. During an interview, the Interim DON confirmed the resident did not have a diagnosis of Parkinson’s disease and that the indication documented for the medication did not reflect the resident’s current diagnoses. This resulted in a deficiency related to unnecessary medications for one of two residents reviewed for unnecessary drugs, as the medication was administered without an appropriate, diagnosis-based indication of use.
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