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F0656
D

Failure to Care Plan for Antipsychotic Medication Use

Nashville, North Carolina Survey Completed on 07-30-2025

Penalty

No penalty information released
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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 a care plan addressing the use of antipsychotic medication for one resident with vascular dementia and severe cognitive impairment. The resident had a physician's order for Olanzapine, an antipsychotic, which was administered routinely. Review of the resident's comprehensive care plan showed no documentation or interventions related to the antipsychotic medication, despite its ongoing use. Staff interviews confirmed that the omission was an oversight, and the administrator acknowledged that antipsychotic medications should have been included in the care plan.

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