Complaint Investigation Report

LPA Bunker requested copies of the following documents: Admission Agreement, Medication Log, Medical Administration Records (MARs), Personal Rights, Identification and Emergency Information, Consent for Emergency Medical Treatment, Replacement Appraisal Information, Physician Orders, Physician's Report for Residential Care for the Elderly (RCFE), Resident Pharmacy Enrollment Form, COVID-19 Vaccination Record Card, Silverado Pharmacy Policy, and Resident Roster

Allegation #1 Facility does not allow a resident to choose preferred services. Staff 1-3 (S1-3) interviewed stated the facility does allow residents to choose their preferred services, the facility requires thirty (30) day supplies of medication. R1 received a new order for medication, staff requested the medication and the daughter said she was busy and would bring it in the next day after multi attempts. The daughter brought in two (2) of R1 medication, Tylenol (10 days late) and tramadol for pain (2 days late), the facility is requesting bubble packs. It helps ensure accuracy and safety for residents. Staff stated uniform packaging of medications allows the nurses to easily be accountable for the large numbers of medications that their residents take. Staff stated R1 can use her own pharmacy, the facility must have the medications in a timely manner. The daughter is using CVS Pharmacy and the facility uses Omnicare Pharmacy and suggested it to the daughter and she stated she prefers CVS because she knows the Pharmacist and likes to visit with him. Staff stated they informed the daughter the facility is responsible if there is a medication error that's why it is important to have the new prescription order filled immediately. Staff stated Silverado Senior Living makes every effort to keep its residents safe and provide quality of care to all residents. As part of their resident safety program, Silverado Senior Living follows a pharmacy policy that requires that all residents obtain their medications through an approved pharmacy that contracts with Silverado and packages all medications in a uniform system. Staff stated they are following Title 22 Regulations regarding medication.