Failure to Follow Physician Order to Hold Aspirin Before Colonoscopy
Penalty
Summary
The facility failed to follow a physician’s order to hold a resident’s Aspirin prior to a scheduled colonoscopy. The resident, admitted on 5/19/25 with diagnoses including bladder cancer, diabetes, pain, hypertension, and muscle wasting, had a physician’s order dated 1/26/26 indicating that Aspirin was to be held for five days before a colonoscopy scheduled for 3/18/26. Review of the clinical record and resident interview showed that nursing staff continued to administer the daily Aspirin up to the day of the procedure instead of holding it as ordered. During an interview, the resident reported that the colonoscopy had to be canceled because staff did not stop the Aspirin, and the Nursing Home Administrator confirmed that the physician’s orders were not followed and that the procedure was consequently canceled. This deficiency was cited under 28 Pa. Code 211.12(d)(3)(5) related to nursing services and 28 Pa. Code 201.18(b)(2) related to management.
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