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32 | (Continued from LIC 9099)
On this date LPA obtained six of six staff training and inservice records, and reviewed the Device Activity Report from 6/1-6/19/2026 and Resident Council Minutes for June 2026. LPA interviewed eight of eight residents, six of six staff members and three of three witnesses during the course of the investigation.
It was alleged that Staff are not administering resident's medication in a timely manner. LPA reviewed the electronic Medication Administration Record (eMAR) for Resident #1 (R1) for June through July 2026. Per eMAR, R1 received an as needed (PRN) pain medication at 9:36pm on 6/12/2026. This medication can be given every six hours. Staff interviewed stated that care staff went to the resident after receiving a phone call and relayed to the Medical Technician (Med Tech) that R1 was requesting pain medication.
At 10pm, R1 requested additional pain medications. Staff interviewed stated that it was too soon to give additional pain medications and stated they shared this with R1. Staff continue to support R1 since the resident was experiencing a lot of pain. Progress notes from 6/12/2026 stated R1 requested pain medication at 9:30pm and that it was administered and tolerated well and that staff were monitoring R1 frequently. During the PM shift on 6/12/2026 there were two care staff, the Med Tech and the Med Tech trainee.
Resident Council minutes from a town hall meeting on 5/28/2026 requested additional medication training for Med Techs for accuracy of medications administered. The facility addressed this issue during the 6/17/2026 Resident Council Meeting stating that an additional MedTech was hired for weekends and that staff have ongoing medication training. LPA reviewed four of six care staff training records documenting continuous medication training. Medication inservices were provided to care staff on 9/17/2025 for Medication Administration, checking dosage against orders and MARs and reading labels. On May 21, 2026 an inservice was provided for Incident reports, Giving Medications, alert and progress charting and shift duties. Five of six staff interviewed denied the allegation. One of six staff members could not confirm, nor deny the allegation.
LPA interviewed eight of eight residents Three of eight residents denied the allegation that staff are not administering medications in at timely manner. Two of eight residents confirmed medications are not given in a timely manner Three of eight residents interviewed could not confirm, nor deny if medications were administered timely since they do not use medication services and self administer their own meds. Two of
(Continued on LIC 9099-C1) |