| Facility failed to meet the following Requirement(s): | Corrected Date | Level of Harm | Residents Affected |
| Injections shall be administered only by a physician or licensed nurse, except that insulin injections may be administered by a CMT or LIMA who has successfully completed the state-approved course for insulin administration, taught by a department-approved instructor. A resident who requires insulin, may administer his or her own insulin if approved in writing by the resident ' s physician and trained to do so by a licensed nurse or physician. The facility is responsible to monitor the resident ' s condition and continued ability for self-administration. I/II
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9/7/2019
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| Medication Orders.
(A) Physician ' s instructions, as evidenced by the prescription label or by signed order of a physician, shall be accurately followed. If the physician changes the order which is designated on a prescription label, there shall be on file in the resident ' s record a signed physician ' s order to that effect with the amended instructions for use or until the prescription label is changed by the pharmacy to reflect the new order. II/III
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9/7/2019
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Missouri Department of Health & Senior Services