Failure to Obtain and Provide Ordered Medications From Pharmacy
Penalty
Summary
The facility failed to provide pharmaceutical services that ensured the accurate acquiring, receiving, dispensing, and administering of medications for a resident. Facility policy titled "Medication Ordering and Receiving from Pharmacy" stated that medications and related products are to be received from the dispensing pharmacy on a timely basis and that timely delivery of new orders is required so that medication administration is not delayed. For one resident, clinical record review showed physician orders dated March 17, 2026, for multiple medications, including Advair HFA inhalation aerosol for asthma, pregabalin (Lyrica) for pain, celecoxib (Celebrex) for arthritis, and amphetamine dextroamphetamine (Adderall) for ADHD. Review of the resident’s interdisciplinary progress notes showed that these ordered medications were documented as "not available" on the date of admission. Further interview with the Director of Nursing on March 31, 2026, confirmed that the medications marked as not available had not been received from the contracted pharmacy and therefore were not administered as ordered by the physician. This failure to obtain and have the medications available for administration constituted noncompliance with the facility’s own policy and with regulatory requirements for pharmacy and nursing services.
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