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 prevent the use of unnecessary psychotropic medications by prescribing an as-needed Lorazepam order for a resident with vascular dementia, chronic kidney disease, and COPD, who was cognitively impaired with a BIMS score of 9. The physician's order for Lorazepam 0.5 mg every 6 hours as needed for itching and anxiety did not include a required 14-day stop date. The resident received Lorazepam eight times over a period of approximately three weeks. The DON confirmed during interview that the order lacked the appropriate stop date documentation.