Penalty

Fine: $95,118

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

Facility staff failed to maintain a medication error rate at or below 5%, as evidenced by observations of medication administration. During eight observed medication passes, there were four errors out of 25 opportunities, resulting in a 16% medication error rate. Staff interviews confirmed that education on medication administration and management is provided.