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F0755
D

Failure to Provide Ordered Scopolamine Patch Due to Pharmacy Unavailability

Palmyra, Pennsylvania Survey Completed on 02-04-2026

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that a physician-ordered medication was available and administered as prescribed for one resident. The resident had a history of traumatic brain injury, seizures, stroke, dysphagia, and memory impairment, and was care planned for altered neurological status with an intervention for staff to administer medications as ordered. On July 23, 2023, a physician ordered a scopolamine transdermal patch every three days for increased secretions, with removal per schedule. Review of the January 2026 MAR showed that on January 3, 6, and 30, 2026, the scopolamine patch was not applied and was coded as on hold with directions to see nursing notes. Nursing notes for those dates documented that the patch was not applied because it was not available from the pharmacy. In an interview on February 4, 2026, the Director of Nursing confirmed that the ordered scopolamine patches were not administered on those dates due to unavailability from the pharmacy. The deficiency was cited under 28 Pa. Code 201.14(a) Responsibility of licensee, 28 Pa. Code 201.18(1)(3) Management, and 28 Pa. Code 211.12(d)(3)(5) Nursing services.

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