Failure to Timely Communicate Consultant Medication Recommendation to Physician
Penalty
Summary
The facility failed to ensure timely physician supervision of care for one of 14 sampled residents when a consultant’s medication recommendation was not promptly communicated to the attending physician. The resident had diagnoses including iron deficiency anemia and diabetes. On January 13, 2026, a consultant documented a recommendation that the resident receive epoetin alfa once every seven days to help produce red blood cells. Clinical record review showed no documented evidence that this recommendation was reviewed with or acted upon by the physician until March 4, 2026. In an interview on March 5, 2026, at 9:15 a.m., the Regional Clinical Director confirmed that the consultant’s recommendation had not been reviewed with the physician in a timely manner, resulting in noncompliance with physician supervision requirements under 42 CFR 483.30(a) and 28 Pa. Code 211.2(d)(3). This deficiency was previously cited on July 3, 2025, under the same regulatory requirements for physician supervision and medical director responsibilities.
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