Failure to Attempt Gradual Dose Reduction for Antipsychotic Medication
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 attempt a Gradual Dose Reduction (GDR) for an antipsychotic medication, Seroquel, for one resident diagnosed with vascular dementia and adjustment disorder with anxiety. The resident had a severely impaired cognition, as indicated by a BIMS score of 3/15, and required staff assistance with bed mobility and transfers. Medical records showed active physician orders for Seroquel 25 mg once daily and 50 mg at bedtime. During the survey, the Nursing Home Administrator was unable to provide documentation of any GDR attempt for this resident, despite facility policy requiring gradual dose reductions and behavioral interventions for residents on psychotropic drugs unless clinically contraindicated.