Complaint Investigation Report

Allegation: Staff mismanaged resident's medication

The allegation alleges that resident’s medication is not properly logged or not logged in the resident file.

LPA observed centrally stored medications secured in a locked medication cart. All medications were observed in their original packaging. From 11:51 AM to 12:32 PM, LPA reviewed Resident R1-R6’s Physician’s Orders and Centrally Stored Medications and observed the medication bubble packs are consistent with the dates and listed medications from the pharmacy and physician.

LPA received and reviewed resident Medication Exception that indicates when, why, and who provided or withheld medication. LPA received and reviewed residents PRN Report that indicates the date and time a PRN was given, the strength, reason, result and who gave the medication. LPA received and reviewed the Staff training regarding medication administration and medication procedure regarding physician orders, documenting, and labels. LPA observed staff conduct 7 hours of medication training annually.

During interviews with Staff S1-S4, were asked if residents receive their medications as prescribed, four (4) out of four (4) stated residents receive their medications as prescribed. Additionally, Staff S1-S4 were asked if there has been any mismanagement of medications, four (4) out of four (4) stated no, there have been no medication mismanagement and medications are provided as prescribed.

During interviews with Residents R1, R3-R5, were asked if they receive their medication as prescribed, four (4) out of four (4) stated yes, they receive their medications as prescribed.