• Nursing Facility Assessments and Care Plans for Residents Receiving Atypical Antipsychotics Drugs

    Tuesday July 24, 2012

    This study used a random sample of records from a previous Office of Inspector General (OIG) study of elderly nursing facility residents with Medicare claims for atypical antipsychotic drugs between January and June 2007. They reviewed the records for evidence of compliance with Federal requirements for resident assessments and documentation of decision-making. They also reviewed the records for evidence of compliance with Federal requirements for care plan development and implementation.

    Nearly all records reviewed (99 percent) failed to meet one or more Federal requirements for resident assessments and/or care plans. The resident assessment and care plan process involves four steps. One-third of records reviewed did not contain evidence of compliance with Federal requirements regarding resident assessments, the first step. Further, for 4 percent of records, nursing facility staff did not document consideration of the Resident Assessment Protocol for psychotropic drug use as required, the second step. Ninety-nine percent of records did not contain evidence of compliance with Federal requirements for care plan development, the third step. Finally, 18 percent of records reviewed did not contain evidence to indicate that planned interventions for antipsychotic drug use-the fourth step-actually occurred.

    Please read the following attachments for more details and CMS response to the report.

    OIG Report Care Plans for Residents Receiving Atypical Anitpsychotic Drugs

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