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F0756
D

Pharmacist Failed to Identify 14-Day Stop Date for PRN Antianxiety Medication

New Concord, Ohio Survey Completed on 06-12-2025

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

A deficiency occurred when the facility pharmacist failed to identify that a psychotropic medication, specifically an as needed (PRN) antianxiety medication (Compound: Ativan/Lorazepam Gel), required a 14-day stop date in accordance with facility policy. The medication was ordered for a resident with multiple diagnoses, including Alzheimer's disease, dementia, and adjustment disorder with mixed anxiety and depression. The resident was severely impaired in daily decision-making and exhibited disorganized thinking. Despite the facility's policy stating that PRN antipsychotic medications should not be renewed beyond 14 days without a healthcare practitioner evaluation, the medication was administered multiple times over several months after the initial 14-day period had passed. Pharmacy reviews conducted over several months did not identify the need for a 14-day stop date for the PRN antianxiety medication. The pharmacist explained that both the routine and PRN antianxiety medications were placed on the same prescription, which did not trigger a recommendation to discontinue the PRN medication after 14 days. As a result, the medication continued to be administered well beyond the policy's required stop date, and no pharmacy recommendation was made to the physician to address this issue.

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