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25 | Regional Manager (RM) Icela Estrada and Licensing Program Manager (LPM) Denise Powell conducted an office meeting at the licensee's request to discuss recent issues of concern, including multiple medication errors and personal rights of residents. The meeting was conducted via teleconference with the following participants (Licensee Representatives): Shamin Wu, Sharon McGuire, Eric Stromsky, Eugenia Liu, Kimberly Severns-Jones and Counsel Joel Goodman. During the teleconference, licensee representatives shared information and described actions taken to address the areas of concern. The facility conducted audits of residents medication records and acknowledged they found numerous discrepancies in medication documentation, transcription and administration requirements. The facility also conducted an internal investigation which determined staff did not follow required policies and procedures, which resulted in these medication errors. The facility has initiated plans of corrective actions including staff training in a variety of topic areas, ongoing charting audits and increased external oversight of medication practices and records. Facility plans to review all incident reports on a weekly basis to ensure timely reporting. |