Failure to Maintain Scheduled Opioid Therapy and Comprehensive Pain Assessment
Summary
The deficiency involves the facility’s failure to ensure that a resident’s scheduled opioid pain medication was re-ordered, available, and administered as ordered, and to provide comprehensive pain assessment and monitoring when doses were missed. The resident had chronic pain syndrome, an above-the-knee amputation of the left leg, post‑traumatic osteoarthritis with contracture of the left hand from shrapnel injury, and PTSD. His MDS showed intact cognition, dependence on staff for transfers and toileting, use of a motorized scooter, and a scheduled pain regimen without PRN or non‑pharmacological pain interventions. The CAA documented frequent moderate pain over five days and directed staff to assess pain each shift, notify the provider of unrelieved pain, and use pharmacologic and non‑pharmacologic interventions. However, the care plan problem statement for pain was left blank, lacked a documented baseline pain level, and did not provide clear guidance for managing chronic pain, scheduled opioid administration, or monitoring when medications were unavailable, despite an intervention requiring a pain scale each shift. The resident had physician orders for morphine IR 15 mg four times daily for chronic pain and morphine IR 7.5 mg twice daily PRN. The MAR showed that on one day the 4:00 p.m. and 8:00 p.m. scheduled 15 mg doses were not administered because the medication was not available, and a 7.5 mg PRN dose was given at 5:03 p.m. as a substitute. The following morning, the 6:30 a.m. scheduled dose was not administered, and the 11:30 a.m. dose was given late at 1:36 p.m., resulting in four missed scheduled doses and a prolonged gap in full opioid coverage. Progress notes documented repeated contacts with the on‑call provider and pharmacy about the morphine prescription and that the medication was not available. The NP reported having sent a prescription to the pharmacy but did not fax it to the facility that evening and did not provide alternate pain management orders or instructions to monitor for increased pain or withdrawal. A triage RN later reported sending a renewed order to the pharmacy and contacting an on‑call PA. The vitals and intake records for the two days of missed doses showed no documented food intake, with improved intake afterward, and resident and family interviews described decreased appetite during the medication gap. During this period, the record lacked comprehensive pain assessments that included pain characteristics, documentation of non‑pharmacological interventions attempted or offered, increased monitoring for escalating pain or opioid withdrawal symptoms, or any offer or suggestion of emergency transfer for pain management. The resident reported that when he receives all scheduled morphine doses his baseline pain is 5/10, but during the gap he experienced pain at 10/10, could not get out of bed, had decreased appetite, and increased anxiety with difficulty swallowing. He stated he tends to shut down and not ask for medication when in severe pain and that staff only asked for a numerical pain rating without exploring specifics. His spouse described him as stoic, noted that he was sweating, quiet, confused, and unable to operate the TV remote, and confirmed that he did not call her as he usually did. Multiple nurses described him as stoic and requiring prodding to report pain; one nurse identified in advance that the morphine supply would be insufficient but did not contact the provider due to time constraints, and subsequent nurses confirmed the missed doses and significant pain. The DON acknowledged unawareness of the missed doses, agreed this represented a significant medication error with no provider notification, no monitoring for withdrawal, and no alternative pain management, and confirmed that the facility’s pain management policy did not specify when to complete comprehensive pain assessments, how to document baseline pain, or what steps to follow when scheduled pain medications are missed or unavailable. The pharmacist and medical director characterized the situation as emergent, explained the pharmacology of IR morphine, and stated that even one missed dose should trigger assessment and monitoring for escalating pain and acute opioid withdrawal, underscoring that the clinical team was responsible for ensuring communication, medication availability, and monitoring when a scheduled opioid dose was missed. The facility’s written pain management policy required evaluation, documentation, and reassessment of pain at regular intervals, with each new report of pain, and after interventions, using an interdisciplinary approach and involving the resident and responsible party. However, the policy did not specify when or where a comprehensive pain assessment must be completed, did not provide guidance for documenting baseline pain, and did not outline steps to follow when scheduled pain medications are missed or unavailable. This lack of detailed procedural guidance, combined with staff failures to timely re‑order morphine, ensure its availability, notify providers of missed doses, and conduct comprehensive assessments and monitoring during the medication gap, led to the resident experiencing unmanaged severe pain, decreased appetite, sweating, confusion, and anxiety during the period when his scheduled opioid therapy was interrupted.
Penalty
Resources
Below are regulatory guidelines relevant to this citation:
A resident with chronic pain syndrome and frequent severe pain missed multiple doses of an ordered lidocaine cream because the medication repeatedly ran out. Nursing and central supply staff confirmed the OTC cream was not consistently available after a vendor change, and the resident stated the left shoulder pain was not managed without it.
Failure to Assess and Manage Ongoing Pain After a Fall: A resident with severe cognitive impairment and multiple chronic conditions was found on the floor and later had repeated therapy notes documenting persistent RLE pain, limited mobility, and inability to bear weight. The record did not show follow-up pain assessments or pain medication administration despite reports of hip, thigh, and leg pain, and the resident was later hospitalized with a displaced femoral neck fracture and right hip tenderness.
Incomplete PRN Narcotic Pain Documentation: The facility failed to document pain assessments and reevaluations for PRN narcotic pain meds for four residents. MARs and controlled substance records showed multiple Hydrocodone-Acetaminophen and Tramadol doses removed or administered without the required documentation, despite care plans addressing pain and opioid use. Staff interviews confirmed awareness that PRN meds must be documented on the MAR and that missing documentation could allow a narcotic to be given too soon.
A resident with chronic back pain, disc degeneration, and spinal stenosis waited an extended period for an MRI required before a pain specialist appointment. The record showed the clinic requested the MRI and PT before the initial visit, but the facility did not timely complete the scheduling process, with the DON relying on a desk calendar entry that was not entered into the EHR and the hospital stating the MRI was only scheduled after the facility called in.
Failure to Escalate Unrelieved Pain When Physician Did Not Respond: A resident with cancer-related pain and severe pain scores was ordered gabapentin and later acetaminophen, but refused Tylenol because it did not relieve the pain. Staff documented contacting the NP and attending MD for stronger pain medication, yet the physician did not respond and the DON stated there was no attempt to contact the Medical Director. The resident later developed intractable left flank pain and was transferred via 911 for further care.
Inadequate pain management and documentation for a resident after hospital return. A resident came back from the hospital after a heel debridement with an order for Percocet PRN, but staff delayed clarifying the order, offered Tylenol while the resident reported being told to avoid it with Percocet, and did not document the pain assessment or nonpharmacological interventions. The resident reported severe pain, said staff argued about the medication, and later received a one-time higher Percocet dose after the physician documented ongoing pain.
Missed ordered pain cream doses due to unavailable stock
Penalty
Summary
The facility failed to ensure a resident’s ordered pain medication was available for administration, resulting in 17 missed dose opportunities out of 186 for one sampled resident. The resident was admitted in 11/2021 with diagnoses including chronic pain syndrome, was cognitively intact, and had an annual MDS indicating frequent pain in the previous five days with a reported pain level of 9 out of 10. The physician ordered Aspercreme Lidocaine Cream 4% to be applied to the resident’s neck and left shoulder twice daily for pain, but review of the 3/2026, 4/2026, 5/2026, and 6/2026 TARs showed multiple missed AM and PM doses because the medication was not available. During interview, the resident stated the facility had run out of the lidocaine cream multiple times, including most recently the week before the interview, and stated the left shoulder pain was not managed without it. Staff stated creams were administered by nursing staff, that low supply should be monitored and refills requested, and that central supply was responsible for obtaining the OTC cream when stock was low. Staff confirmed the resident missed multiple doses because the Aspercreme ran out, and central supply stated the product had run out multiple times after a vendor change because the new vendor did not carry it, so it was being purchased through Amazon.com and local stores that did not consistently have it in stock.
Failure to Assess and Manage Ongoing Pain After a Fall
Penalty
Summary
The facility failed to follow its pain management policy by not adequately assessing, monitoring, or managing pain for one resident who had a fall and later developed ongoing right lower extremity pain. The resident was admitted with multiple diagnoses including weakness, anxiety disorder, insomnia, severe protein calorie malnutrition, major depressive disorder, constipation, alcohol abuse, gastroesophageal reflux disease, cognitive communication deficit, metabolic encephalopathy, difficulty walking, and a history of breast cancer. The resident’s BIMS score on the MDS was 4/15, indicating severe impairment. After an incident in which the resident was found on the floor on her right side next to her bed, the incident report documented lacerations and redness to both knees, a laceration to the right ankle, redness to the right hip, and that the resident reported no pain at that time. However, therapy documentation later repeatedly recorded pain in the right hip, thigh, and right lower extremity, including pain ratings ranging from 3/10 to 8/10, pain with movement, and limitations in ADLs, mobility, standing, bending, and weight-bearing. Therapy notes also documented that the resident was unable to ambulate at times due to severe pain and had decreased range of motion related to contracture. The resident’s medical record did not document pain assessments after pain was recorded in therapy notes, and the MAR did not document any pain medication administration from 11/24/25 through 12/12/25. Staff interviews indicated that therapy staff reported pain to nursing when it occurred, and the DON stated pain should be reported to the provider and followed up if medication was ineffective, but no pain assessments or investigation of the resident’s complaints were presented during the survey. The resident was later sent to the hospital when family requested transfer, and the hospital record documented right hip pain, tenderness to palpation and with range of motion, and a right femoral neck fracture on x-ray, with the hospital noting the fracture may have been due to a fall two weeks prior to presentation.
Incomplete PRN Narcotic Pain Documentation
Penalty
Summary
The facility failed to ensure pain assessments were completed before and after the administration of PRN narcotic pain medications for four sampled residents: R4, R8, R16, and R18. Facility policies for Pain Management and PRN Medication required use of a pain assessment tool appropriate to the resident’s cognitive status, documentation of the reason for PRN use, the time of administration, and evaluation of effectiveness. The policies also stated that pain management would be reassessed at established intervals for effectiveness and adverse consequences. R18 was admitted with diagnoses including cerebral infarction, neuralgia, and unspecified pain, and her care plan included pain-related interventions and opioid-related goals. Her MAR showed documented administrations of Hydrocodone-Acetaminophen with pain assessments before and after administration, but the Medication Monitoring/Control Record showed additional tablets removed that were not documented on the MAR. For March 2026, 17 tablets were removed and 13 PRN doses were missing from the MAR, including pain assessment and reevaluation. For April 2026, 10 tablets were removed and 8 PRN doses were missing from the MAR, also without the required pain assessment and reevaluation. R4 was admitted with diagnoses including diastolic heart failure, wedge compression fracture of T11-T12 vertebra, and unspecified pain. Her care plan identified pain related to age, decreased mobility, restless leg syndrome, muscle spasms, and opioid use. Her MAR showed one documented Tramadol administration in March 2026, one in April 2026, and none in May 2026, while the Medication Monitoring/Control Record showed 9 tablets removed in March, 6 in April, and 7 in May. In each month, multiple PRN doses were missing from the MAR, including pain assessments and reevaluations before and after administration. R16 was admitted with cerebrovascular disease, Alzheimer’s disease with late onset, and idiopathic neuropathy. Her care plan addressed pain related to hip fracture history, decreased range of motion, arthritis, weakness, CVA, and muscle weakness. Her MAR showed no documented Hydrocodone-Acetaminophen administrations in April 2026 and one documented administration in May 2026, while the Medication Monitoring/Control Record showed 5 tablets removed in April and 9 in May. In both months, PRN doses were missing from the MAR, including pain assessment and reevaluation. R8 was admitted with Type 2 diabetes mellitus with hyperglycemia, unspecified myalgia, and acquired absence of the left foot and right great toe. Her care plan addressed acute pain related to toe amputation and opioid use. Her MAR showed no documented Hydrocodone-Acetaminophen administrations in March 2026, four documented administrations in April 2026, and none in May 2026, while the Medication Monitoring/Control Record showed 5 tablets removed in March, 16 in April, and 7 in May. In each month, PRN doses were missing from the MAR, including pain assessments and reevaluations before and after administration.
Delayed MRI Scheduling for Pain Specialist Referral
Penalty
Summary
The facility failed to timely schedule an imaging appointment needed before a pain specialist visit for a resident with chronic back pain. The resident had diagnoses including intervertebral disc degeneration with lumbar discogenic back pain and lower extremity pain, and spinal stenosis. The quarterly MDS indicated the resident was cognitively intact, used a wheelchair, needed substantial to maximal assistance with transfers, and received scheduled pain medication. During interview, the resident stated their back had been hurting really bad and that they had been waiting a long time for the back scan required before seeing the pain specialist. The record showed a physician order to refer the resident to an interventional pain and spine clinic for chronic back pain, followed by a note that a message was left for the pain clinic. Later documentation stated the pain clinic requested an MRI and 6 weeks of PT before the initial appointment. The clinical team attempted to schedule the MRI and was awaiting hospital scheduling, while an LPN later stated the hospital said a referral order was needed before the MRI could be scheduled and that the nurse practitioner was notified. The DON stated the facility had sent the order to central scheduling and was waiting for a date and time, and also stated an appointment date was written on a desk calendar but was not entered into the EHR. Central scheduling stated the MRI was ultimately scheduled after the facility called in.
Failure to Escalate Unrelieved Pain When Physician Did Not Respond
Penalty
Summary
The facility failed to effectively manage one resident’s pain in accordance with its Pain Assessment and Management policy. The resident was admitted with diagnoses including type II DM, malignant neoplasm of the female genital organs, and hemorrhage of the anus and rectum. The resident’s hospital history and physical indicated Dilaudid 0.5 mg IVP every four hours as needed, and the facility’s pain assessment documented severe pain rated 7-8/10 in the lower abdomen related to vulvar cancer, with an acceptable pain level of 0/10. The pain management plan stated that the physician should be notified if the current regimen was ineffective. The resident was ordered gabapentin 300 mg every 12 hours and later acetaminophen 650 mg every six hours for pain and fever. On 5/14/2026, the resident refused acetaminophen, stating it did not help and would not work. Progress notes documented that staff sent a text to the NP requesting stronger pain medication and later noted that the RN supervisor was aware and in contact with the doctor, with staff awaiting an MD order. Another note documented that the resident complained of pain but refused Tylenol, that the MD was notified, and that staff were waiting for a new pain order. By 5/15/2026, the resident was documented with intractable left flank pain and was transferred via 911 to another hospital due to the pain. During interviews, LVN 1 stated the resident reported severe pain and refused acetaminophen because it did not provide relief, and that LVN 1 contacted the NP and reported the issue to the oncoming nurse for follow-up. LVN 2 stated staff were still awaiting the physician’s response and had not received a response since the prior day. The DON stated staff must contact the Medical Director if the attending physician did not respond, but there was no attempted contact to the Medical Director on 5/14/2026 or 5/15/2026, despite messages to the attending physician requesting stronger pain medication and documentation of ongoing severe pain.
Inadequate Pain Management and Documentation for a Resident After Hospital Return
Penalty
Summary
Facility staff failed to provide appropriate pain management for a resident who had recently returned from the hospital after a heel wound debridement procedure. The hospital discharge summary documented Percocet 5-325 mg, 1 tablet every 4 hours as needed, and the resident was re-admitted to the facility on 1/7/26 at 8:30 PM. According to the record, the resident began complaining of pain at about 10:00 PM, and the assigned LPN realized the admission orders had not yet been signed off by the physician. The LPN documented that she offered Tylenol while waiting for the Percocet order to be signed, but the resident refused all pain medications offered. She did not document when the resident first requested pain medication, an assessment of the pain, or any nonpharmacological interventions offered. She also did not document that the resident stated he/she had been told to avoid additional Tylenol while taking Percocet, or that she educated the resident about that issue. The telehealth provider later documented that the resident reported pain at 10/10 and appeared lethargic, and did not want to increase the Percocet dose at that time, though it should be considered due to uncontrolled pain. The physician later documented that the resident had been having pain since admission and entered a one-time order for Percocet 5/325 mg, 2 tablets for pain management. The LPN documented that the resident received the 2 tablets and had no further complaints of pain. During interviews, the resident stated that staff only offered Tylenol, that he/she had told the nurse about being instructed not to take Tylenol with Percocet, and that when Percocet was finally given it was 1 tablet instead of the 2 tablets received in the hospital. The LPN, RN supervisor, DON, and administrator were interviewed, and the LPN and supervisor acknowledged they had not clarified the Percocet order with the hospital, had not offered nonpharmacological interventions, and had not documented the timing and details of the pain management events.
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