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13 | LPA conducted an unannounced follow-up visit to deliver findings on a complaint investigation. LPA was greeted by Concierge Diane How, identified herself, explained the purpose of the visit, and subsequently met with ED Nagaria, RSD Sterling, and MCC St. Mars.
The Department’s investigation consisted of staff interviews, and a facility and resident records review.
On February 21, 2025, the Department received a complaint that the facility was mismanaging Resident 1 (R1’s) medication. Staff interviews and a review of the hospital discharge report, dated February 15, 2025, included a discontinuation of two (2) of R1’s medications. On February 17, 2025, facility staff sent a request to R1’s Primary Care Physician (PCP) for an order to discontinue the medication per the hospital discharge report/instructions, to no avail. Interviews with facility staff revealed they are not allowed to stop, administer, or change residents’ medication without the PCP approval.
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