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F0756
D

Delayed Medical Provider Review of Pharmacist Medication Regimen Recommendation

Wytheville, Virginia Survey Completed on 05-07-2025

Penalty

Fine: $79,870
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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

Facility staff failed to ensure that a medication regimen review (MRR) completed by a licensed pharmacist was reported to and acted upon by the medical provider in a timely manner for one resident. The pharmacist completed the MRR and made recommendations regarding the resident's antipsychotic medication, specifically suggesting an evaluation and possible dose reduction of Olanzapine. However, the recommendation report was not found in the resident's clinical record, and there was no evidence that the medical provider had acknowledged or reviewed the recommendation until three months after the MRR was completed. The resident involved had multiple complex diagnoses, including hypertension, Alzheimer's disease with early onset, chronic respiratory failure, cerebrovascular disease, diabetes, epilepsy, depression, anxiety, dementia, chronic kidney disease, and schizoaffective disorder. The resident was also noted to have severe cognitive impairment. Facility policy required timely physician response to pharmacist recommendations, and documentation of review in the medical record, but these steps were not followed in this instance.

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