F0755

D

Incorrect Medication Indications Not Verified for Antiepileptic Drugs

Bethesda, Maryland Survey Completed on 03-26-2026

Penalty

No penalty information released

Summary

Surveyors identified that pharmaceutical services failed to ensure accurate indications for medications prescribed and administered to a resident. Review of the resident’s March 2026 MAR showed physician orders for Depakote 250 mg twice daily for seizures and Lamotrigine 25 mg, four tablets once daily, for epilepsy. Further review of the resident’s medical record revealed no history or current diagnosis of seizures or epilepsy to support these indications. In an interview, a staff member confirmed that the resident did not have epilepsy or seizures and that there was nothing in the medical file indicating any history of these conditions, and was unable to explain how the facility or pharmacy verified that the indications listed for these medications were correct.