Allegation: Staff do not ensure residents’ medication records are up to date.

It is alleged that facility staff do not ensure residents’ medication records are up to date. Reports indicated concerns that facility staff are not authorized to discuss medications over the phone, which hinders efficient patient care. Further reports noted difficulties in getting updated patient medication lists, which are often outdated and pose risks to patient safety. Additionally, reports mentioned that staff members seem to be out of the office frequently. No further detailed information was provided.

On July 22, 2026, between 10:55 AM and 12:20 PM, the Department interviewed residents identified as Resident #1 through Resident #9 (R1-R9). Nine (9) out of the nine (9) resident members who receive medication assistance could not corroborate this claim. Residents expressed a positive experience regarding the assistance they receive with their medications. They noted that staff consistently provide reliable support and that they have not encountered any problems related to incorrect, missing, or outdated medication information. Furthermore, residents appreciate communication from staff regarding any changes in their medications, ensuring they are well-informed and supported throughout the process. expected. All residents reported no staffing issues and confirmed staff are always available to assist.

On July 22, 2026, between 10:30 AM and 1:30 PM, the Department interviewed staff members identified as Staff #1 through Staff #4 (S1-S4). Four (4) out of the four (4) staff members could not support this claim. According to staff members S3 and S4, those responsible for medication administration maintain up-to-date medication records, promptly receive and file physician orders, and update Medication Administration Records (MARs) and Centrally Stored Medication logs when changes occur. The staff described their procedures for receiving new orders, documenting changes, and communicating updates during shift transitions.

Additionally, for prescription refills of PRN medications, the facility collaborates with Omnicare, and all refills are processed electronically without delays. (S3 and S4) mentioned that the facility typically only receives requests for medication lists when a resident is hospitalized. At that point, a request for a physician’s medication order is faxed to the hospital.

(Evaluation Report continues LIC 9099-C)

The Department's review of medication administration records for a sample of residents showed that Physician Orders (dated 07/08/26 – 08/06/26), MARs (dated 07/08/26 – 08/06/26), and Centrally Stored Medication logs were consistent and current. No discrepancies were observed between the medications present in the facility and the written records reviewed. No documentation was found to indicate outdated or inaccurate medication records. Additional review of staff American Health Care Academy (HIPAA) training.

Further review of Personnel Report LIC 500 (dated 07/22/26) verified med team staffing for all shifts.

Based on interviews conducted and records reviewed, there was insufficient evidence to support the allegation mentioned above.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

No deficiencies cited.

An exit interview was conducted with LIDA ZARAFSHAN, and copies of the reports were provided.