F0755

D

Incorrect Transcription of Hospital Furosemide Order

Owasso, Oklahoma Survey Completed on 02-02-2026

Penalty

Fine: $12,735

Summary

The facility failed to ensure medications were administered as ordered when a resident did not receive the correct furosemide dose following hospital discharge. A hospital discharge medication list for Resident #16, dated 01/09/26, directed continuation of furosemide 60 mg by mouth daily, but the corresponding physician’s order entered at the facility on the same date specified only 40 mg by mouth daily. An admission assessment dated 01/16/26 documented that the resident had a BIMS score of 12, indicating moderate cognitive impairment, and was receiving a diuretic medication. On 01/22/26 at 10:00 a.m., the resident reported that they had been taking 60 mg of furosemide daily in the hospital and had only been receiving 40 mg daily since admission to the facility. At 12:20 p.m. the same day, the ADON confirmed that the hospital discharge order called for 60 mg daily, but the nurse had mistakenly entered an order for 40 mg daily.

This discrepancy between the hospital discharge medication list and the facility physician’s order, along with the resident’s report and the ADON’s acknowledgment of a nurse’s entry error, demonstrates that the facility did not provide pharmaceutical services in accordance with the prescribed medication regimen for this resident.