F0760

D

Delayed Implementation of Antibiotic Order Following Wound Care Visit

New Albany, Ohio Survey Completed on 02-18-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to implement a physician’s order for an antibiotic in a timely manner for one resident. The resident was admitted with multiple diagnoses, including infection and inflammatory reaction due to cardiac and vascular devices, toxic encephalopathy, cellulitis of the right lower limb, myositis of the right thigh, peripheral vascular disease, anemia, atrial fibrillation, hypertension, congestive heart failure, urinary retention, cardiac arrhythmia, left below-knee amputation, dementia, insomnia, chronic pain syndrome, benign prostatic hyperplasia, and hypothyroidism. A Brief Interview for Mental Status (BIMS) completed shortly after admission showed a score of 8/15, indicating a moderate cognitive deficit. An after-visit summary from an appointment related to open wounds on the right lower leg and right great toe directed that the resident was to start Doxycycline 100 mg by mouth twice daily for seven days.

Despite this order, the antibiotic was not started until several days later. A progress note documented that an order for Doxycycline 100 mg by mouth twice daily for seven days, faxed directly from the physician to the pharmacy, was observed in the copy room on 02/17/26 at 3:59 A.M., at which time it was then transcribed to the Medication Administration Record (MAR). The monthly physician orders reflected the Doxycycline order dated 02/17/26, and the MAR showed the first dose was administered during the morning medication pass on that same date. During an interview, an LPN stated he was unsure why the resident was on Doxycycline but knew the order originated from the earlier appointment. In a separate interview, the DON confirmed that the Doxycycline order had not been implemented in a timely manner. This deficiency was cited under Complaint Number 2740077.