Failure to Implement Physician-Approved Pharmacy Recommendation
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 ensure that pharmacy recommendations were addressed in a timely manner for a resident with diagnoses including dementia, depression, Alzheimer's disease, and hallucinations. The resident had an active order for fluticasone nasal spray, and the pharmacy recommended either discontinuing the medication or reducing the dose to one spray as needed for rhinitis. Although the physician approved the recommendation to change the order, the physician's order was not implemented, and the original medication regimen remained active. This deficiency was confirmed through record review and interview, affecting one of five residents reviewed for unnecessary medications.