Penalty

No penalty information released

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 compliance with the 14-day limit for as needed (prn) psychotropic medication use, specifically Haldol, for one resident receiving palliative care. The resident's physician order set included a prn Haldol order for agitation without a stop date or documented clinical rationale for continued use beyond the required timeframe. Review of the treatment administration record showed that after the 14-day limit had passed, the resident received 17 additional doses of prn Haldol without a provider evaluation or documentation supporting the ongoing need for the medication. An interview with the Nurse Manager/Supervisor confirmed the absence of required documentation and provider review regarding the continued administration of prn Haldol, and the provider's progress notes did not address the medication's use during a subsequent visit. The deficiency centers on the lack of timely provider evaluation and documentation for the continued use of a psychotropic medication beyond regulatory limits, as well as the administration of multiple doses after the required review period had expired.