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32 | Allegation: “Facility staff did not administer medications to resident as prescribed:”
The complaint alleges that Resident #1 (R1) requested PRN medication on 03/26/2023 in the evening, but was never administered the PRN (as needed) medication requested. LPA reviewed medication logs for R1, which indicate PRN pain medication was administered in the morning of 03/26/2023, but not the evening/night. The log indicated that R1 was administered their PRN pain medication 15 (fifteen) times during the month of March 2023. LPA was unable to interview R1, as R1 was agitated and refused interview during the LPA’s visit at the facility and LPA did not receive a response by telephone. So LPA could not confirm whether there were additional times the medication was requested and not administered. Staff interviewed indicated that residents can request PRN medication at any time of the day or night and there is always a medication technician on shift to administer the medication to the resident. The medication technician then records the medication on the electronic MAR as administered. The only exception is if it’s too close to the time the resident had taken a previous dose of the PRN medication. Staff interviewed indicate that R1 does call often for PRN medication and that the doses are administered. Based on interview and record review, although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation “facility staff did not administer medications to resident as prescribed” is deemed UNSUBSTANTIATED at this time.
Allegation: “The licensee did not provide assistance needed to meet the resident’s home health needs:”
It was alleged that R1 had orders for physical therapy, which included daily walks with facility staff, but that facility staff were not walking with R1. LPA interviewed staff, who indicated that they walk with R1 once daily, typically to the dining room. Staff indicated there is a log in R1’s room where they can mark daily walks with R1. During the initial complaint visit, LPA asked R1 where the log was and R1 indicated they had thrown it away. Staff interview revealed that R1 frequently refused to participate in walking exercises, likely due to pain R1 reported experiencing. As LPA was unable to interview R1, LPA was unable to confirm whether walking exercises were offered to R1 and they were refused or if exercises were not offered. Based on interview and record review, although the allegation may be valid, at this time there is insufficient evidence to support the allegation or that a violation occurred, therefore, the allegation “the licensee did not provide assistance needed to meet the resident’s home health needs” is deemed UNSUBSTANTIATED at this time.
Report Continued on LIC 9099-C (p.3)
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