Failure to Ensure Complete and Thorough Monthly Medication Regimen Reviews
Penalty
Summary
The facility failed to ensure that a licensed pharmacist consultant performed a monthly Medication Regimen Review (MRR) for all residents as required by facility policy. For one resident, there was no evidence that a MRR was completed for the entire month of May, despite the resident being present in the facility during that time. The resident's name was not included in the MRR listing for that month, and the Director of Nursing (DON) confirmed the omission during an interview and record review. Additionally, for another resident, the pharmacist consultant conducted MRRs for two consecutive months but did not address the concurrent use of two antidepressant medications, mirtazapine and bupropion, both prescribed for the same behavioral manifestation of verbalizing sadness. The DON verified that there was no documentation or pharmacy recommendations regarding the use of these two medications for the same indication in the MRRs for those months.