Complaint Investigation Report

CSMDR and MAR and detected and identified that C1 hasn’t been administered the Topical Cream for the period of 7/1/24-7/15/2024, due to not having the medication refilled on time by the facility staff. LPAs conducted an interview with the facility Administrator, who confirmed that the medication refill request was placed on 07/01/24 through the pharmacy. However, per pharmacy’s request the facility staff was supposed to contact C1’s Primary Care Physician (PCP) for a new authorization/order. Administrator also confirmed that due to miscommunication/misunderstanding no one from the facility contacted PCP for C1’s ointment until 07/15/24. The information obtained during the interview confirmed the allegation and statements were made that the Staff mismanaged client’s medications. The Allegation is Substantiated.

Exit interview conducted, Deficiency issued on LIC9099-D

Copy of appeal rights and report delivered.