Failure to Maintain Adequate OTC Medication Stock for Resident Needs
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident on all three nursing units by not maintaining adequate floor stock of commonly used over-the-counter (OTC) medications, specifically MiraLAX and Prilosec (or their generic equivalents), despite a policy stating that such OTC medications would be available upon receipt of a prescriber’s order. A complaint and grievance from January 2026 documented that common OTC medications were not available. Three of five interviewed nurses reported that MiraLAX and Prilosec were not available, that one resident had to purchase his own MiraLAX due to bowel issues, and that nurses were borrowing medications from each other to meet residents’ needs. Observation of the medication room and review of recent medication orders showed only one bottle of MiraLAX and three bottles of Prilosec ordered in the last seven orders over three months, and inspection of three of five medication carts found no MiraLAX on any cart and no Prilosec or generic equivalent on two of the three carts. The Director of Nursing confirmed that the facility failed to provide pharmaceutical services to meet residents’ needs on the North, South, and [NAME] nursing units.
