Failure to Care Plan Antipsychotic Medication Use
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 develop and implement a care plan for a resident who had a physician's order for an antipsychotic medication. The resident was admitted with a diagnosis that included adjustment disorder and was assessed as cognitively intact. The admission Minimum Data Set (MDS) indicated the resident had received an antipsychotic during the look-back period, and a physician's order for quetiapine fumarate was documented. Despite this, a review of the resident's care plan showed no care plan addressing the use of antipsychotic medication. Interviews with staff confirmed that the antipsychotic order was not incorporated into the care plan, as it was missed during the interdisciplinary team (IDT) meeting where new orders are reviewed.