Lack of Physician Response to Pharmacist Drug Regimen Review Recommendations
Penalty
Summary
The facility failed to provide evidence that the attending physician reviewed and responded to irregularities identified by the pharmacist during monthly drug regimen reviews for two of five residents reviewed under the Unnecessary Medications pathway. For one resident, pharmacist reviews were located, but the facility could not produce the pharmacist consult reports or the physician's responses to recommendations made on two separate occasions. Similarly, for another resident, the facility was unable to provide the pharmacist consult report or the physician's response to the pharmacist's recommendations. Staff interviews confirmed that the required documentation of physician review and response to pharmacist recommendations was not available for the specified dates.