Failure to Monitor for Adverse Reactions to High-Risk Medication
Penalty
No penalty information released
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Summary
The facility failed to monitor for adverse reactions or side effects of a high-risk medication, gabapentin, for one resident. The resident had a history of hemiplegia and hemiparesis following a stroke, long-term use of anticoagulants, and was cognitively intact with a BIMS score of 15. The resident was prescribed gabapentin 400 mg to be taken three times daily for neuropathic pain and restless leg syndrome. Despite the known potential side effects of gabapentin, including serious reactions, the resident's medical record did not contain any documentation of monitoring for adverse reactions or side effects. This lack of monitoring was confirmed by the DON upon review of the resident's medical record during the survey.