Failure to Complete and Document Monthly Medication Regimen Reviews
Penalty
Summary
The facility failed to ensure that a licensed pharmacist completed monthly medication regimen reviews (MRRs) and followed up on physician notification of pharmacy recommendations for four out of five residents reviewed for unnecessary medications. Specifically, for one resident with diagnoses including dysphagia, peripheral vascular disease, and anxiety, the July MRR was missing from the medical record, and irregularity reports for several dates were not available upon request. The facility was unable to provide the requested MRRs and irregularity reports during the survey, despite multiple requests. Additionally, three other residents with diagnoses such as schizoaffective disorder, bipolar disorder, insomnia, dysphagia, Alzheimer's disease, heart failure, kidney disease, and hypertension also had missing July MRRs. The Director of Nursing confirmed that the July MRRs were never received and was unsure about the status of the irregularity reports, stating they had been given to unit managers. The facility's policy and procedure for pharmacy services related to pharmacy reviews was requested but not provided before the survey concluded.