Failure to Document and Act on Monthly Pharmacist Medication Reviews
Penalty
Summary
The facility failed to ensure that a licensed pharmacist performed and documented monthly drug regimen reviews, including the identification and reporting of medication irregularities, for one of five sampled residents. Medical record review and examination of the interim DON's pharmacist monthly medication review binder revealed no evidence that the pharmacist had conducted or documented monthly medication reviews or made recommendations for the months of March, April, May, or June 2025. The resident involved had a diagnosis of schizophrenia and was receiving antipsychotic, antianxiety, and antidepressant medications during the review period. Staff interviews confirmed the absence of required documentation in the resident's record and the facility's binder.