California Nursing Home Failed to Properly Monitor Psychotropic Medication Usage
The pharmacist's note specifically stated: "This resident continues on Trazadone 75mg qhs from 6/18/2023....
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The pharmacist's note specifically stated: "This resident continues on Trazadone 75mg qhs from 6/18/2023....
The resident, identified as Resident #5, had been admitted with multiple conditions including a spinal compression fracture, hypertension, and gout....
Federal inspectors determined that staff failed to follow established protocols during a transfer that resulted in resident injury....
This represents a fundamental breakdown in the facility's internal oversight mechanisms designed to identify, analyze, and resolve care quality issues...
Federal inspection of Senatobia Healthcare & Rehab in Senatobia, MS on August 20, 2024 revealed violations requiring immediate correction....
Between monitoring checks, the resident successfully cut her right wrist with a microblade razor she had ordered online....