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F0758
D

Psychotropic Medication Administered Without Documented Diagnosis

Silver Spring, Maryland Survey Completed on 04-16-2025

Penalty

No penalty information released
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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

Surveyors identified that a resident was receiving trazodone HCL 50 mg via gastrostomy tube at bedtime for insomnia. Upon review of the resident's medical record, there was no documented diagnosis of insomnia to support the use of this psychotropic medication. The order for trazodone specified its use for insomnia, but the required corresponding diagnosis was absent from the resident's medical documentation. Interviews with the Director of Nursing (DON) confirmed that all medications should have an indication and a matching diagnosis in the medical record. The DON verified that there was no evidence of an insomnia diagnosis for the resident in question and acknowledged the lack of documentation supporting the medication order. This failure to ensure that psychotropic medications were only used to treat a specific, diagnosed, and documented condition constituted the deficiency.

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