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F0605
D

Lack of Stop Dates for PRN Psychotropic and Anti-Psychotic Medications

Rockford, Illinois Survey Completed on 11-19-2025

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 as-needed (PRN) psychotropic and anti-psychotic medications had appropriate stop or duration dates for three residents reviewed for pharmacy services. Specifically, one resident had an order for haloperidol as needed every 8 hours, and two residents had orders for lorazepam as needed at varying intervals. All of these orders had documented start dates but lacked required stop or duration dates. According to the facility's own policy, as-needed psychotropic and anti-psychotic medications are limited to 14 days, but this was not reflected in the orders reviewed. The Director of Nursing confirmed that PRN psychotropic and anti-psychotic medications require a stop date.

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