ORDER

MARCIA MORALES HOWARD, District Judge.

THIS CAUSE is before the Court on the Government's Oral Motion for the involuntary medication of Defendant to restore his competency for trial (Doc. No. 43; Motion), made before the Honorable Joel B. Toomey, United States Magistrate Judge, during an evidentiary hearing held pursuant to Sell v. United States, 539 U.S. 166 (2003) on November 4, 2011.1 See Amended Clerk's Minutes (Doc. No. 42). Defendant opposed the Motion. See id. At the hearing, the government submitted as Exhibit 1 a competency restoration study containing a proposed treatment plan for Defendant (Proposed Treatment Plan). At the conclusion of the hearing, the Magistrate Judge permitted the parties to file memoranda supporting their respective positions (Doc. No. 41), but only the Government did so. See Government's Memorandum of Law in Support of Sell Hearing of 4 November 2011. On November 30, 2011, the Magistrate Judge entered a Report and Recommendation (Doc. No. 45; Report) recommending that the Motion be granted to the extent that the Court should enter a contempt-backed order requiring Defendant to accept treatment to restore competency and issue an additional order authorizing forced medication if the Defendant fails to comply. See Report at 1-2, 18-20. Defendant did not file any objections to the Report and the deadline to do so has passed. This matter is ripe for review.

The Court reviews a magistrate judge's report and recommendation in accordance with the requirements of Rule 59, Federal Rules of Criminal Procedure (Rule(s)) and 28 U.S.C. § 636(b)(1). The Court "may accept, reject, or modify, in whole or in part, the findings or recommendations made by the magistrate judge." 28 U.S.C. § 636(b)(1); see also Rule 59(b)(3). "[I]n determining whether to accept, reject, or modify the magistrate's report and recommendations, the district court has the duty to conduct a careful and complete review." Williams v. Wainwright, 681 F.2d 732, 732 (11th Cir. 1982) (quoting Nettles v. Wainright, 677 F.2d 404, 408 (5th Cir. Unit B 1982)2). Additionally, pursuant to Rule 59 and § 636(b)(1), where a party timely objects3 to the magistrate judge's report and recommendation, "[a] judge of the [district] court shall make a de novo determination of those portions of the report or specified proposed findings or recommendations to which objection is made." 28 U.S.C. § 636(b)(1); see also Rule 59(b)(3); Thomas v. Arn, 474 U.S. 140, 149-50 (1985). Nevertheless, while de novo review of a magistrate judge's recommendation is required only where an objection is made,4 the Court always retains the authority to review such a recommendation in the exercise of its discretion. See Rule 59 advisory committee notes (2005) (citing Thomas, 474 U.S. at 154; Mathews v. Weber, 423 U.S. 261, 270-71 (1976)).

Upon careful consideration, and for the reasons stated in the Magistrate Judge's Report, the Court will accept and adopt the factual and legal conclusions recommended by the Magistrate Judge. However, the Court will slightly modify the procedure proposed in the recommendation.5

Accordingly, it is hereby ORDERED:

1. The Magistrate Judge's Report and Recommendation (Doc. No. 45), as modified herein, is ADOPTED as the opinion of the Court.

2. The Government's Oral Motion (Doc. No. 43) is GRANTED as follows:

a. Defendant shall remain in the custody of the Attorney General at FMC Butner for treatment to restore his competency to proceed to trial, and until further order of the Court.

b. Defendant is hereby ordered to accept the antipsychotic medication and any related treatment prescribed by the doctors at FMC Butner in accordance with the Proposed Treatment Plan. Defendant shall be given a reasonable opportunity to accept such treatment, of at least one opportunity per day for ten days.

c. If, after ten days, Defendant continues to refuse to accept treatment, FMC Butner is authorized to involuntarily treat Defendant in accordance with the Proposed Treatment Plan.6 During the course of such involuntary treatment, staff at FMC Butner are authorized to perform any physical and laboratory assessments and monitoring which are clinically indicated to evaluate possible medication side effects.

d. No later than thirty days after beginning Defendant's treatment, the treating physicians at FMC Butner shall file with the Court a report of the status of Defendant's treatment, his response to treatment, including any side effects, and a prognosis. Copies should be furnished to the Honorable Joel B. Toomey, United States Magistrate Judge, 300 N. Hogan Street, Suite 5-211, Jacksonville, Florida 32202; Sara Neugroschel, Assistant U.S. Attorney, 300 N. Hogan Street, Suite 700, Jacksonville, Florida 32202; and Earl M. Johnson, Jr., Esquire, P.O. Box 40091, Jacksonville, Florida 32203.

e. Once the Bureau of Prisons believes the medications have restored Defendant to competency, or believes the medications will not do so, the Bureau of Prisons shall file a report with the Court so stating. If the Bureau of Prisons believes Defendant has been restored to competency, the report should address whether the medications should be continued at trial, how such medications might affect Defendant during trial, and how to monitor the effects of the medication throughout the trial.

f. Counsel for the Government shall monitor the Bureau of Prison's compliance with the reporting requirements of this Order.

DONE and ORDERED.