Failure to Administer Antipsychotic Medication as Ordered
Penalty
Summary
A resident with diagnoses including disorganized schizophrenia, vascular dementia, major depressive disorder, and anxiety was prescribed an antipsychotic medication, Uzedy, to be administered as a subcutaneous injection every 28 days for management of schizophrenia. The resident's care plan identified the need for psychotropic drug use and required nursing staff to monitor and report side effects and behaviors to the physician. However, the treatment administration record showed that the scheduled injection was missed on June 1st, and this omission was confirmed by facility documentation and staff interview. Following the missed dose, the resident, who had severely impaired cognition and a history of delusions and daily verbal behavioral symptoms, experienced a significant deterioration in condition. The mental health progress note indicated that the resident continued to display physical aggression toward others despite receiving the missed dose later and being prescribed additional medication. The resident's behaviors interfered with participation in activities and social interactions, and further pharmacological intervention was required to stabilize the resident and return them to therapeutic levels.