Failure to Update Care Plan After Medication Discontinuation
Penalty
No penalty information released
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 ensure that a resident's care plan was revised and updated to reflect current physician orders. Specifically, a resident with dementia and diabetes had a care plan initiated that included the use of Trazodone for sleep, but the physician's order for Trazodone had been discontinued. Despite the discontinuation, the care plan was not updated to remove the reference to Trazodone. The Director of Nursing confirmed that care plans are to be updated quarterly and as needed, and acknowledged that the care plan should have been revised when the medication was discontinued, but this was not done.