Failure to Perform Required Quarterly AIMS Assessments for Residents on Antipsychotics
Penalty
Summary
The facility failed to ensure adequate monitoring of antipsychotic medications for two residents who were prescribed these drugs. For one resident with diagnoses including dementia, major depressive disorder, and generalized anxiety disorder, the record showed that an Abnormal Involuntary Movement Scale (AIMS) assessment was last completed on 12/2/2024, with no further documentation of quarterly assessments as required by facility policy. The Director of Nursing confirmed that the resident had not received the required quarterly AIMS assessments while on olanzapine. For another resident with psychotic disorder with delusions and major depressive disorder, documentation revealed that only one AIMS assessment was completed in the past year, despite the resident receiving daily antipsychotic medication and the care plan specifying quarterly AIMS assessments. The DON acknowledged that the required quarterly assessments had not been performed for this resident in 2024. The facility's policy mandates AIMS assessments on admission, quarterly, with changes in condition or medication, or as needed, but this was not followed for these two residents.