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32 | Interview with the assistant administrator today at 11:00 a.m. revealed R1 received all medications at the proper times and dosages. The facility had poor internet connection, so they had purchased a new router. Interview with Staff #1 (S1) at 11:15 a.m. today revealed the facility followed the physician’s orders prescribed by R1’s primary physician. When the facility received information that the dosage may be incorrect, S1 contacted R1’s physician who wrote a new order for a lower dosage. The facility assisted R1 with the updated, lower dosage immediately and documented the change in their files. Interview with Staff #2 (S2) at 11:30 a.m. today revealed they properly assisted R1 with Ethambutol at the correct times and dosages that their physician prescribed. S2 documented all medications in a hand-written MAR. LPA reviewed the electronic MAR, a hand-written MAR, and the new physician order at 12:00 p.m. today. The electronic MAR showed some missing entries. The hand-written MAR showed all entries were complete. The new physician order from 06/18/24 showed a change of Ethambutol from 1,000 mg to 800 mg. LPA conducted a medication review at 1:15 p.m. today of R1’s medication Ethambutol and found all medication quantities matched the MAR. The previous container for Ethambutol 1,000 mg was destroyed and documented in the facility record. Interview with R1 at 1:45 p.m. today revealed they received all of their medications properly and felt no pain or side effects. Based on interviews and record review the facility followed all physician orders and properly assisted R1 with their medication. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
Regarding the allegation “Staff did not meet resident's medical needs” it was alleged the facility did not assist R1 with their required lab work. Interview with the assistant administrator and S1 revealed R1 had refused their previously scheduled lab work on 06/18/24. S1 arranged for another appointment on 06/21/24 which was completed. The facility received the results of the lab work on 06/24/24 around 11:00 a.m. S1 stated R1’s lab work looked good and R1 had no pain. Record review revealed R1’s lab work indicated no concerns. Interview with R1 confirmed they refused to go their initial appointment then agreed to a subsequent appointment. Based on interviews and record review the facility arranged for R1’s medical appointment and met their medical needs. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.
No immediate health and safety risks were observed during today's visit.
Exit interview conducted. Copy of report provided. |