Facility Evaluation Report

On 08/04/26 at 3:53PM, while at the facility for another reason, LPA D Panlilio discussed with Executive Director the medication error incident that was self reported on 06/26/26 wherein one Med Tech (MT1) accidentally gave the wrong medications to a resident (R4) at approximately past 6:40PM on 06/24/26.

Staff called 911 and R4 was sent to the hospital for evaluation and treatment. R4 returned back to the facility on 06/25/26 at 4AM with no new medications. Hourly checks were executed by staff on R4 for 24 hours followed by additional alert charting for 5 days. All Med-Techs were in-serviced and retrained on proper medication administration procedures on 07/01/26.

Exit interview conducted and a copy of this report provided.