F0755

D

Failure to Obtain and Administer Ordered Medications From Pharmacy

Reading, Pennsylvania Survey Completed on 02-17-2026

Penalty

No penalty information released

Summary

Surveyors identified that the facility failed to ensure physician-ordered medications were available and administered as prescribed for two residents. One resident was admitted with neoplasm-related pain and pancreatic cancer and had a care plan intervention for staff to administer medications as ordered. On February 7, 2026, a physician ordered oxycodone every three hours as needed for severe pain. On February 9, 2026, nursing documentation showed the resident complained of pain, but the nurse was unable to administer the ordered oxycodone because it was not available.

Another resident was admitted with diagnoses including polyneuropathy and diabetes. On February 5, 2026, a physician ordered insulin glargine at bedtime, metoprolol tartrate twice daily, metformin twice daily, and gabapentin twice daily. Nursing documentation on that same date indicated these medications were unavailable from the pharmacy and therefore were not administered. In an interview, the DON confirmed that the medications for both residents had not been administered as ordered because they were not available from the pharmacy and acknowledged that staff should have utilized the emergency supply.