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F0697
D

Failure to Provide Ordered PRN Pain Medication Due to Out-of-Stock Voltaren Gel

Vandalia, Ohio Survey Completed on 03-16-2026

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 and requested pain management for a cognitively intact resident with osteoarthritis, obstructive sleep apnea, and congestive heart failure. The physician had ordered Voltaren gel to be applied topically to the resident’s right shoulder every six hours as needed for pain. Review of the March 2026 MAR showed no documentation of Voltaren gel administration on 03/07/26, 03/08/26, 03/09/26, and 03/10/26. The resident reported that on each of those dates he requested his PRN Voltaren gel, but nurses told him it was not available. An interview with an LPN confirmed the resident had a physician’s order for Voltaren gel, had asked for it to be applied to his right shoulder, and that the medication was out of stock. This resulted in the resident not receiving the ordered PRN pain medication despite multiple requests. This deficiency represents noncompliance investigated under Complaint Number 1360651.

See complete original report
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