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13 | At approximatley 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facliity unannounced to complete an investigation into the above allegations. LPA met with Executive Director Dorla Licausi. Based on records reviewed and interviews conducted, LPA was not able to find evidence that facility was not dispensing medication as prescribed by physician. Resident, R1, was prescribed a Fentynal patch 12mcg every 3 days, then an increase to 25mcg was ordered. Facility did not have a written order, nor were the correct patches available at the time of a verbal order. Facility began applying the correct patch when the proper documentation and patches were received. Records reviewed indicate the placement and removal of each patch. LPA did not find detailed disposal records for each patch, other than the destruction record indicating the patches were disposed of. LPA discussed with Executive Director various methods of better destruction documentation going forward. LPA reviewed medication records and did not find evidence of missing medication. Documentation of applied and removed patches matched the perscription count. Based on records reviewed, R1 did not need assistance repositioning in bed and was able to reposition themselves. Based on interviews conducted, R1 did not like certain positions and would make their needs known to staff. Continued on LIC9099-C... |