Failure to Monitor for Adverse Effects of Anticoagulant Therapy
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
The facility failed to ensure that a resident's drug regimen was free from unnecessary drugs by not properly assessing for adverse effects related to anticoagulant therapy. A resident with multiple diagnoses, including a non-surgical wound, history of falls, and a right artificial hip joint, was prescribed Apixaban and Aspirin for DVT prevention. Despite these medications, the resident's record did not include any monitoring for bruising or bleeding, which are known potential adverse effects of anticoagulants. The Director of Nursing confirmed that there was no documentation of monitoring for adverse outcomes, and that while the physician assessed the resident every 60 days, licensed nurses did not perform daily assessments for bleeding.