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F0756
F

Failure to Provide Monthly Consultant Pharmacist Drug Regimen Review

Nortonville, Kansas Survey Completed on 04-16-2025

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 provide the services of a Consultant Pharmacist to review and identify irregularities in the drug regimens of all 30 residents during December 2024. Record review showed that monthly medication regimen reviews (MRRs) were documented for August, September, October, and November 2024, but there was no documentation of an MRR for December 2024. Additionally, when requested, the facility was unable to provide the Consultant Pharmacist reports for August through December 2024. Administrative staff reported a change in pharmacy providers in November 2024 and were unable to locate the pharmacist's recommendations for the relevant months. One resident in the sample, who had multiple diagnoses including major depressive disorder, anxiety, pain, diabetes, muscle spasms, repeated falls, and intervertebral disc degeneration, was identified as being at risk for adverse side effects from medications with black box warnings. The resident's care plan required regular pharmacy review and recommendations, but the lack of a December 2024 MRR and missing reports indicated that this oversight did not occur as required by facility policy. Facility policies stated that the consultant pharmacist would review each resident's medication regimen at least monthly to identify any irregularities.

See complete original report
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