Failure to Obtain Ordered Valproic Acid Level for Resident on Divalproex
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 obtain a required laboratory test for one resident who was prescribed Divalproex Sodium for a mood disorder. Upon admission, the resident had diagnoses of Anxiety Disorder, Depression, and Psychotic Disorder, and a physician's order was written for a valproic acid level to be measured on a specified date. Review of the clinical record showed no documented evidence that the valproic acid test was performed or that results were available. During an interview, the Director of Nursing confirmed the absence of the test result after reviewing the resident's records and contacting the laboratory, which also did not have the result.