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32 | Staff mishandled a client's medications while in care.
During the interview process staff reported the resident was given a new prescription when staff accompanied the resident to the doctor on 4-2-25. Staff reported a hold order until received was placed on 4-2-25 prescription. Staff stated a new report from the doctor was received on 4-3-25 to discontinue 4-2-25 medication orders as the lab results revealed the medication was resistant to infection. Staff reported a new medication order was received on 4-3-25. Staff reported the updated medication was received on 4-3-25 and the first dose given to the resident on 4-3-25 at 3:00 p.m.
Record review revealed a new prescription was recorded for the resident on 4-2-25 and placed on hold until available.Record review revealed that the 4-2-25 prescription was discontinued on 4-3-25 with a updated prescription called in on 4-3-25. Record review revealed that a new prescription was received on 4-3-25 with the first dose administered by staff to the resident on 4-3-25 at 3:00 p.m.
Staff did not follow a licensed physician's medical orders for a client.
The Administrator stated that it was brought to her attention that the residents mental health worker took the resident to the doctor on 4-7-25 without the staff’s knowledge. The administrator stated the mental health worker didn't take the Medication Administration Record, physician report and blood pressure records with the resident to the doctor’s visit. The administrator stated the staff always take a copy of the residents’ MAR, physician report and blood pressure records to doctor visits. Staff stated, when I took the client to the doctor on 4-2-25 I brought a copy of the clients MAR for the doctor. The administrator stated the resident was taken to the doctor for a follow up visit on 5-2-25, the doctor reported that someone brought the resident in for an appointment on 4-7-25 and didn't know the residents’ medications or if the last prescription was completed. During the interview process staff reported the resident was taken to the doctor’s office without our knowledge on 4-7-25 by their mental health worker with no MAR.
Based on the interviews conducted the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.
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