Failure to Inform Resident of Psychotropic Medication Side Effects
Penalty
Summary
The facility failed to inform a resident about the side effects of psychotropic medications prior to administration. The resident, who was admitted with a diagnosis of seizures, was prescribed and administered several psychotropic medications, including asenapine, buspirone, lamotrigine, and aripiprazole (Abilify), between February and June 2025. Record review and staff interviews confirmed there was no documented evidence that the resident was informed about the side effects of these medications before they were given. Facility staff, including the Social Services Director, Administrator, Director of Nursing Services, and Regional Nurse, acknowledged that the resident had not been informed, and no additional information was provided to demonstrate compliance.