Failure to Initiate Care Plans for Psychotropic and Narcotic Medication Monitoring
Penalty
Summary
The facility failed to develop and implement comprehensive care plans addressing the monitoring of behaviors and side effects for two residents receiving psychotropic medications, and failed to initiate a care plan for pain monitoring for one resident on narcotic medication. For one resident with diagnoses including hemiplegia, hemiparesis, and epilepsy, orders were in place for psychotropic and narcotic medications, and monitoring was documented in the medication administration record. However, the comprehensive care plan did not include interventions for monitoring behaviors or side effects related to psychotropic use, nor for pain assessment related to narcotic use. Another resident with urinary tract infection and parkinsonism was also prescribed psychotropic medication, with orders for behavior and side effect monitoring, and documentation of these assessments in the medication administration record. While the care plan addressed monitoring for side effects and mood related to antidepressant use, it did not include a care plan for monitoring behaviors or side effects specifically related to psychotropic medications. The MDS coordinator stated that monitoring was not deemed necessary for psychotropics prescribed for non-psychiatric reasons and acknowledged the missing care plan for narcotic use.