Failure to Obtain Informed Consent for Psychotropic Medication
Penalty
Summary
The facility failed to obtain informed consent prior to administering a psychotropic medication to a resident. The resident, who had diagnoses including type 2 diabetes mellitus, schizoaffective disorder bipolar type, major depressive disorder, and anxiety disorder, was prescribed Seroquel for paranoia, agitation, and irritability. Documentation showed that Seroquel was first administered on 07/17/2025, but there was no evidence in the medical record that informed consent had been obtained from the resident or their representative before the initial dose. Both a Registered Nurse and the Director of Nursing confirmed that facility policy requires informed consent prior to administering psychotropic medications, and that this was not documented for the resident in question.