Failure to Notify Responsible Party of Medication Change
Penalty
Fine: $47,51420 days payment denial
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 inform a resident's responsible party about an increase in the resident's antidepressant medication dosage and did not discuss alternative treatment options. Clinical record review showed that a resident with dementia had a physician's order to increase sertraline from 50 mg to 75 mg daily. There was no documentation or evidence that the responsible party was notified of this medication change or provided with information about other possible treatments. A confidential interview confirmed that the responsible party was not made aware of the increased dose and would have declined the change if notified. The Director of Nursing also confirmed that the responsible party was not informed of the new physician's order.