Failure to Complete Required Depakote Laboratory Monitoring
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
A deficiency was identified when a resident admitted with diagnoses including borderline personality disorder, post-traumatic stress disorder, anxiety, and depression was prescribed Depakote 125 mg twice daily for mood stabilization. The consultant pharmacist recommended routine laboratory monitoring, specifically valproic acid (VPA) and ammonia levels every six months, which was acknowledged and signed by the physician. However, a review of the resident's medical record and laboratory results for the past 12 months revealed that no VPA or ammonia levels had been obtained. During an interview, the Director of Nursing confirmed that there were no records of these laboratory tests being completed for the resident.