It was determined on 11-11-21, R1 was picked up by family member and drove to Ohio for a scheduled outing. Administrator stated during interview that resident stayed with family member until 11-13-21 before departing for Ohio. Based on interview and record reviews it was revealed that family member signed “medication transfer sheet/release of liability” form and signed R1 out on 11-11-21. LPA reviewed “medication transfer sheet/release of liability” form and determined medication released matched those on the medication log sheet. Interview with Administrator also revealed that medication orders and instructions were reviewed with family member prior to departure. It was also revealed that a meeting took place on 11-2-21 to discuss R1’s plan for the 10-day outing. Present at this meeting were R1, family member, Administrator, licensee, regional case worker, and day program manager. {Cont. on 809C}

On 11-21-21, R1 returned to facility with medication. Based on interview with Administrator, a medication count was conducted by Administrator and all medication was accounted for. LPA reviewed medication log to confirm medication was not given by facility from 11-11-21 to 11-20-21 due to outing. Upon R1’s return, based on interview, Administrator recorded 6 doses of medication not given during R1’s outing and contacted pharmacy on 11-21-21. Administrator also stated that it was learned R1 stayed with another family member during part of the trip. According to Administrator, pharmacy picked up unused medication on 11-22-21 and replaced with new medication. Administrator also stated and reviewed on incident report that R1’s physician was contacted for further advisement and orders to continue medication orders as written. LPA’s review of medication log sheet determined all medication is currently given as ordered by facility staff. LPA reviewed facility’s plan of operation regarding medications when residents are on outings and determined all procedures were followed. LPA interviewed R1’s family member and it was revealed that all medications were given to family member upon R1’s departure. It was further revealed through this interview that R1 spent multiple days with another family member during the trip. LPA reviewed current medication log for R1 and conducted medication count to determine all medication currently on hand is dispensed and accounted for.

Based on interviews conducted and records reviewed, it is determined that facility followed necessary procedures to ensure safety of R1 and medication dispensing while away from facility. As a result of today’s visit no deficiencies are cited. An exit interview was conducted with Heather Mobley and a copy of this report was left with Heather.