cms_WV: 6602
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6602 | WAR MEMORIAL HOSPITAL | 5.1e+151 | 1 HEALTHY WAY | BERKELEY SPRINGS | WV | 25411 | 2013-10-17 | 428 | D | 0 | 1 | 9QWX11 | Based on medical record review and staff interviews, the facility failed to ensure the pharmacist identified and reported irregularities to the physician and the director of nursing for two (2) of five (5) Stage 2 sample residents reviewed for unnecessary medications. Each of these residents used antidepressant medications for an excessive period of time without an attempt at a gradual dose reduction. There was no evidence the pharmacist identified this and recommended the consideration of a gradual dose reductions. Resident identifiers: #5 and #13. Facility Census: 15. Findings Include: a) Resident #5 Review of Resident #5's medical record revealed the resident was prescribed the antidepressant Zoloft since 01/14/11. The pharmacist's monthly drug regimen reviews, from December 2012 through October 2013 revealed no indication the pharmacist had made a recommendation for a gradual dose reduction for this medication. The records did not identify a history of failed dose reductions of the Zoloft. b) Resident #13 Review of Resident #13's medication administration records revealed the resident was prescribed the antidepressant Lexapro since 07/08/11. The resident's drug regimen reviews revealed no indication the pharmacist had made any recommendations for a gradual dose reduction for this medication. The resident's records did not identify a history of any failed dose reductions of the Lexapro. c) During an interview on 10/17/13 at 9:40 a.m., the administrator, Employee #48, stated the facility had focused on anti-psychotics and did not complete gradual dose reduction reviews on anti-depressants. An interview on 10/16/13 at 4:40 p.m., with the facility pharmacist, Employee #50, revealed she had not completed gradual dose reduction recommendations on antidepressants due to being focused on antipsychotics. | 2018-01-01 |