Failure to Complete and Act on Monthly Medication Regimen Reviews
Penalty
Summary
The facility failed to ensure that a licensed pharmacist performed and documented monthly medication regimen reviews (MRR) for several residents, as required by facility policy. For one resident with Alzheimer’s disease, hypertension, and diabetes, the MRR for one month only listed current medications without any recommendations or evidence that the medications were reviewed. The Director of Nursing (DON) confirmed that monthly medication reviews were not completed as required. Another resident with high blood pressure, dementia, and chronic pain had an MRR that identified an antipsychotic medication order without an appropriate diagnosis, but there was no documentation that the physician addressed or signed off on the pharmacist’s recommendation. The DON confirmed that irregularities reported by pharmacy were not acted upon in a timely manner for this resident. Additionally, for a resident with anxiety, depression, and bipolar disorder, there was no documentation that MRRs were completed by the consultant pharmacist for two consecutive months. The DON confirmed the absence of these reviews. These findings indicate that the facility did not consistently provide documentation of completed MRRs or ensure timely follow-up on pharmacy-identified irregularities for multiple residents.