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F0552
E

Lack of Informed Consent for Psychotropic Medication

Alamogordo, New Mexico Survey Completed on 11-21-2025

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

Surveyors found that the facility failed to ensure a resident and/or representative was informed in advance about a prescribed medication and understood the reasons, risks, and benefits. Record review showed that the resident had a physician’s order dated 10/28/25 for clonazepam 0.5 mg once daily for insomnia. Further review of the medical record revealed there was no documented consent for the clonazepam. During an interview on 11/21/25 at 10:19 AM, the DON confirmed that there was no consent for the resident’s clonazepam and stated that consents should be completed for psychotropic active medications. This deficiency was identified for 1 of 5 residents reviewed for unnecessary medications, indicating that the required process of obtaining and documenting informed consent for a psychotropic medication was not followed for this resident.

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