Failure to Provide Ordered Anti-Arrhythmia Medication Due to Pharmacy Delay
Penalty
Summary
Surveyors identified a deficiency in pharmaceutical and nursing services when a physician-ordered anti-arrhythmia medication was not administered as prescribed to a resident. The resident, identified as CR 1, had been admitted with diagnoses including atrial fibrillation and had a physician’s order dated December 30, 2025, for propafenone 225 mg to be given three times daily. Review of the January 2026 MAR showed that three scheduled doses of propafenone were not administered on January 15, 2026. In an interview on March 12, 2026, at 1:21 p.m., the Director of Nursing confirmed that these doses were not given and that the medication had not been provided timely by the pharmacy. These findings were cited under 28 Pa. Code 211.9(d) related to pharmacy services and 28 Pa. Code 211.12(d)(1)(3)(5) related to nursing services.
