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F0756
E

Failure to Complete Required Monthly Drug Regimen Reviews

Simi Valley, California Survey Completed on 08-07-2025

Penalty

No penalty information released
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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

The facility failed to ensure that a licensed pharmacist performed the required monthly drug regimen reviews (MRR) for four of nineteen sampled residents during the months of May, June, and July 2025. Specifically, there was no documentation of MRRs for these months in the medical records of residents with complex medical conditions, including colostomy status, gastrostomy status, and neuromuscular dysfunction of the bladder. During interviews and record reviews with the Director of Nursing (DON), it was confirmed that the required MRR documentation was missing for these residents. Additionally, a review of one resident's order summary revealed the use of Seroquel for psychosis and behavioral symptoms, yet there was no evidence of a pharmacist's monthly review for the same period. The facility's policy, dated January 2025, clearly states that the consultant pharmacist must review each resident's medication regimen at least monthly, but this was not followed for the identified residents.

See complete original report
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