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F0552
D

Failure to Obtain Informed Consent Prior to Psychotropic Medication Administration

Woodburn, Oregon Survey Completed on 04-28-2025

Penalty

Fine: $84,475
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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 obtain informed consent prior to administering psychotropic medications to a resident admitted with major depressive disorder. Physician orders for bupropion and desvenlafaxine were initiated, and the resident received these medications daily as documented in the medication administration records. However, the signed consents outlining the risks and benefits of these medications were not obtained until several weeks after administration had begun. This was confirmed by review of the medical record and acknowledged by the Director of Nursing Services.

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