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32 | Regarding allegation: Staff are not distributing resident's medication as prescribed.
It is alleged that the facility is not properly distributing residents in care with prescribed medication. The investigation reveals the following: Interview with ten (10) out of ten (10) residents denied the above allegation. All residents stated that staff have not ever missed any medication. One (1) of ten (10) residents has observed staff coming to dining area to distribute prescription medications to residents, and reported that staff are conscientious about medications and give R1’s spouse medication as needed. One (1) of Ten (10) residents stated that residents complain about food, but the resident has never heard any complaints about prescription medications not being administered to residents by staff. LPAs interviewed W1 who stated that staff have responded to R1’s call for assistance for activities of daily living (ADLs) in a timely manner. In addition, W1 stated that staff have never forgotten to give R1’s prescribed medication. Interviews with staff revealed that ten (10) out of ten (10) staff denied above allegation. Interview with staff revealed that staff follow medication procedure where staff have a two-hour window before and after the prescription is scheduled to be administered to residents. Staff try to locate residents by phone or search in common areas. If resident is not located, charge nurse is notified and charge nurse reports it to doctor for missed medication. S1 stated that after two-hour window, the prescribed medication is destroyed and missed residents medication is documented in the Stored Medication and Destruction Record. S1 stated that medication is destroyed in order to prevent Med Tech confusion and to prevent residents from receiving double doses for the next scheduled medication time. Staff stated that residents who are going to be absent from facility are given prescriptions medications to take with them, and family is instructed to distribute the prescription medication to residents. LPAs reviewed three (3) residents’ prescriptions medications and did not find any health and safety risks to residents in care. Based upon the investigation, client and staff interviews, document review, and LPA observations, the facility is distributing resident’s medication as prescribed.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Exit interview held with Administrator Diana Medina. A copy of the report was provided.
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