Failure of NHA and DON Oversight Leading to Inaccurate Admission Medication Transcription
Penalty
Summary
The deficiency involves the failure of the Nursing Home Administrator (NHA) and the Director of Nursing (DON) to effectively manage the facility so that admission medications are transcribed accurately. Review of facility records and job descriptions showed that the NHA’s primary purpose is to supervise clinical and administrative affairs, including overseeing staff, personal and financial matters, medical care, medical supplies, and facilities, while the DON’s primary purpose is to plan, organize, develop, and direct the overall operations of the clinical department in accordance with regulatory standards to ensure quality care. Despite these defined responsibilities, survey findings identified that the facility failed to ensure accurate transcription of admission medications, demonstrating that the NHA and DON did not fulfill their essential job duties to ensure compliance with Federal and State guidelines and regulations, including 28 Pa. Code 201.14(a), 201.18(b)(1)(3)(e)(1), and 211.12(d)(1)(3)(5).
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