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F0554
D

Failure to Assess Residents for Safe Self-Administration of Medications

Traverse City, Michigan Survey Completed on 05-02-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to assess two residents for safety prior to allowing them to self-administer medications. In one instance, a registered nurse handed a resident a cup containing multiple medications and allowed the resident to leave unsupervised without verifying ingestion or providing supervision, despite no assessment for self-administration being present in the resident's chart. In another case, a resident was found with a prescription inhaler on their bedside table and reported self-administering the medication earlier in the morning after the nurse left it there, again without any documented assessment for self-administration. The Director of Nursing confirmed that assessments are required for residents self-administering medications, and the facility was unable to provide a medication administration policy when requested.

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