Failure to Ensure Physician Review of Pharmacist-Identified Medication Irregularities
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 the attending physician reviewed, acted upon, and documented irregularities identified by the pharmacist during the monthly medication regimen review for one resident. A consultant pharmacist completed a medication regimen review and noted irregularities, instructing to see the report comments and recommendations. However, the report was not found in the resident's medical record during the initial review, and when later produced, it lacked evidence that the attending provider had reviewed or addressed the pharmacist's recommendations. Staff interviews confirmed that the report was missing from the resident's hard chart and that the required physician review and documentation had not occurred.