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25 | Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Helping Hearts - Acacia unannounced to conduct a case management visit. This case management visit is in response to two incident reports submitted to the Community Care Licensing Office on 11/22/23 and 11/27/23. LPA met with Program Director, Lori Secord, introduced self and stated purpose of the visit.
The Special/Unusual Incident Report, (SIR) reported that on 11/22/23, R1 was not given all of R1's prescribed medications due to a medication capsule not popping out of the bubble and was not seen by staff until the following date. LPA unable to interview staff member. Program Director reported that the staff member was provided additional training in response and has had no further issues with assisting with medication management. The Nurse Hotline was contacted for advice. R1's physician was also contacted and informed. LPA reviewed staff file and verified medication management training.
On 11/27/23, it was reported that R2 was not given all of prescribed medications on 11/22/23. During staff interviews, LPA learned that the staff member involved was relatively new and not familiar with R2's behaviors. The missed dose of medication was realized on the following date. At this time, S2 was provided additional training in medication management, dealing with difficult personalities and power struggles. Program Director contacted the Nurse Hotline for advice and R2's primary care physician. LPA reviewed and verified medication management training for S2.
No deficiencies were cited during this visit. An exit interview was conducted where this report (LIC 809) was reviewed, discussed, then provided to Facility Representative |