Facility Evaluation Report

Licensing Program Analyst (LPA) Tyler Reyes conducted a case management visit in order to reissue citations for deficiencies observed during the annual inspection visit conducted on 05/30/2024. LPA Reyes met with Licensee Laureta and explained the reason for the visit.

On 5/30/24 LPA Reyes conducted an unannounced required annual inspection. During the review of medications, LPA Reyes observed that the medication for Resident 1 (R1) was not administered according to the physician’s prescribed instructions. There were instances where medication was not administered on the scheduled dates and the medication sheet for May 2024 showed not all doses were documented.

Based on LPA Reyes's review of R1’s Medication Sheet for the month of May 2024. LPA Reyes observed R1s medications were still inside the Bubble Pack and the May 2024 Medication Sheet was initial by staff as medication were administered, therefore staff did not administer R1s medications per physician orders for R1s medications listed below. Staff 1 (S1) stated to LPA that the reason for not administering or documenting the missed medication for the May 2024 Medication Sheet was just missed.

· R1’s AM Medication –Simethicone 80MG (Take 1 Tablet By Mouth 4 Times Daily) were still in the bubble pack for the following dates: 05/01/24 through 05/22/24, 05/24/24 and 05/30/24, .

· R1’s AM Medication - QUEtiapine Fumarate 50MG (Take 1 Tablet By Mouth Daily) were still in the bubble pack for the following dates: 05/01/24 through 05/17/24, 05/22/24 through 05/24/24, and 5/30/24.

Refer to LIC 809C for continuation of report