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F0684
D

Failure to Timely Administer Physician-Ordered Medication

Prineville, Oregon Survey Completed on 05-13-2025

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

A deficiency occurred when the facility failed to follow a physician's order for a resident with a diagnosis of depressive disorder. The physician ordered Zyprexa 2.5 mg at bedtime on 12/27/24, but the medication was not started until 12/31/24, as indicated by the Medication Administration Record (MAR). The pharmacy technician confirmed that the pharmacy did not receive the order until 12/31/24, resulting in a four-day delay in administering the prescribed antipsychotic medication. The Director of Nursing Services acknowledged that the order was not implemented as written.

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