Failure to Monitor for Edema in Resident on Diuretic
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 medication regimen was free from unnecessary drugs by not monitoring for edema while the resident was prescribed a diuretic. Record review showed that a resident with multiple diagnoses, including heart failure, chronic kidney disease, and dementia, was ordered Hydrochlorothiazide, a diuretic, to be administered daily. However, there was no documented evidence of edema monitoring for 13 instances in April and 16 instances in May, as indicated in the Medication Administration Records. Interviews with the DON and Regional Director of Clinical confirmed that monitoring for edema should have occurred and that there was no documentation of such monitoring during the specified periods.