Failure to Document Monthly Medication Regimen Reviews
Penalty
Fine: $37,480
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 provide documentation that a licensed pharmacist performed monthly medication regimen reviews (MRR), including review of the medical chart, for two of five residents during the period from January through June 2025. Clinical record review and staff interviews confirmed that the required MRRs were not completed or documented as required by facility policy and state regulations. The deficiency was identified when surveyors requested MRR documentation for the specified residents and the facility was unable to provide evidence that these reviews had been conducted at least monthly.