Failure to Obtain Informed Consent for Psychotropic Medication
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 and/or their representative was informed in advance about the administration of a psychotropic medication, specifically fluvoxamine, including the reasons for its use, as well as its risks and benefits. Record review showed that the resident had a physician's order for fluvoxamine to be given twice daily for post-traumatic stress disorder (PTSD), but there was no documentation of consent for this medication in the medical record. During an interview, the DON confirmed that staff did not obtain the required psychotropic medication consent form prior to starting the medication, despite facility expectations that this form be completed before administration.