Failure to Identify and Monitor Target Behaviors for Antipsychotic Use
Penalty
Summary
The facility failed to identify and monitor target behaviors for the use of an antipsychotic medication for a resident diagnosed with dementia. Record review showed that the resident had physician orders for Quetiapine Fumarate, including instructions to monitor behaviors daily, but the orders did not specify time values. Further review of the Medication Administration Record (MAR) and Treatment Administration Record (TAR) for the relevant month revealed that target behaviors were not identified, and there was no indication or prompt for staff to record behavior monitoring related to the use of Quetiapine Fumarate. Additionally, the resident's care plan did not include any identified target behaviors, and an interview with a registered nurse confirmed that neither target behaviors nor prompts for behavior monitoring were present on the MAR or TAR. The facility's policy on the use of psychotropic medications requires ongoing evaluation of the effects of such medications, including behavior monitoring, but this was not followed in the case of this resident.