Allegation: Administrator refused to get resident's prescribed medication

The LPA conducted an interview with S1, and was informed that all clients in the facility receive medication as prescribed by physician orders. In addition, S1 informed the LPA, that all client medication dispensed is recorded in the client’s MAR records. Furthermore, S1 informed the LPA that all medication orders are electronically sent to FOBI Comprehensive Pharmacy, and once they receive the prescription orders, then the medication is filled, and then delivered to the facility. The pharmacy provides the facility with the client’s MAR, listing all the client’s prescription, and the instructions for medication dispensing. All facility staff follow the client MAR and notate in the MAR when medication is dispensed to the clients. The LPA reviewed C1’s MAR, and observed that all C1's prescribed medication is listed, and is marked by staff after dispensing to the client. S1 also informed the LPA, that S1 never informed a physician, that would not follow doctor’s orders when a client is prescribed medication. On 4/21/22, during C1’s doctor visit, S1 did not inform the doctor that C1 would not be dispensed medication or that C1’s medication would not be available in the facility. S1 again informed the LPA that all client medication and MAR are delivered to the facility by the pharmacy. Furthermore, S1 also stated, that the facility staff have been trained to dispense client medication per doctor orders, and to document in the client file, when a client refuses to take their prescribed medication. The LPA also interviewed S2, and was informed, that the staff follow the MAR and provide client medication as prescribed by their physician, and then notate dispensed medication in the client’s MAR. In addition, S2 stated when a client does not want to take their medication, it is noted in the MAR and the client’s file, and also the administrator is notified. The LPA reviewed C1's medication and MAR, and all C1’s medication is noted in the MAR, and also the MAR notes that all medication has been dispensed when required. The LPA interviewed 3 clients and 3 of 3 clients interviewed, informed the LPA, that staff provide them their prescribed medication. Also 3 of 3 clients interviewed informed the LPA that the facility staff help them with their needs. C1 was not interviewed because on 4/22/22, C1 discontinued living in the facility.

Although the allegations 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 allegations are Unsubstantiated. An exit interview was conducted with Vashna Sar Administrator, and a hard copy of a LIC 9099 was provided.