Medications Left at Bedside and Signed as Administered Before Ingestion
Penalty
Summary
The facility failed to ensure medications were administered in accordance with professional standards and facility policy for one resident. Facility policy on administering medications stated that medications are to be administered in a safe and timely manner and as prescribed. Resident 94 had diagnoses including gastroesophageal reflux disease, muscle weakness, and hypertension. During an observation in the resident’s room on January 11, 2026, at 11:10 AM, a cup containing 11 medications was found on the bedside table. In an interview at 11:11 AM, an LPN (Employee 4) stated that when she went to pass the resident’s medications, the resident was eating breakfast, so she left the medications on the bedside table and had already signed them off as administered at 8:51 AM, stating the resident should have taken them by then. In a subsequent interview on January 14, 2026, at 11:21 AM, the Director of Nursing stated that she would expect the resident’s medications not to be left at the bedside and would expect medications not to be signed off as administered until after they are taken by the resident.
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