Inaccurate MDS Assessment for Antipsychotic Medication Use
Penalty
Summary
The facility failed to ensure complete and accurate Minimum Data Set (MDS) assessments for one resident. Clinical record review showed that the resident had a physician's order for Nuplazid, an antipsychotic medication, which was prescribed to be taken orally at bedtime. However, quarterly MDS assessments completed on two separate dates did not indicate that the resident was receiving an antipsychotic medication. This discrepancy was confirmed through interviews with the Director of Nursing and the Nursing Home Administrator, who acknowledged that the MDS assessments were not accurately coded to reflect the resident's medication regimen. The resident involved had a documented order for Nuplazid to treat hallucinations associated with Parkinson's disease, but this was not reflected in the required MDS documentation, resulting in an inaccurate assessment of the resident's care needs.