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F0684
D

Failure to Continue Prescribed Post-Hospital Antibiotic Therapy

Catonsville, Maryland Survey Completed on 03-23-2026

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

Facility staff failed to provide ordered treatment and care by not administering a prescribed antibiotic following a resident’s hospital discharge. The resident was admitted with hemiplegia and hemiparesis after a cerebral infarction affecting the left dominant side and had been diagnosed with a urinary tract infection in the hospital, for which Amoxicillin 500 mg three times daily was initiated. The hospital discharge summary specified that this Amoxicillin regimen was to be continued for an additional five days after discharge. Review of the resident’s January 2026 MAR showed no evidence that the Amoxicillin was administered upon admission. During interviews, the DON acknowledged reviewing the discharge summary and initially believing the antibiotic had been given in the hospital, and another staff member stated that the facility’s process includes a second-day chart check for new admissions and believed the antibiotic order was missed.

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