Complaint Investigation Report

Staff did not ensure medications were dispensed in a timely manner- On 8/29/24, LPA conducted a follow-up visit to the facility in response to additional information regarding R1 not receiving a prescribed medication.

Home Health records noted that R1 was prescribed Modafinil on 9/15/23.

R1 was then admitted to one of the licensee's homes in December 2023. R1 was transferred to this home on 1/2/24.

At the time of admission, the licensee received a print out from R1's treating hospital, that, though not a signed physician's order, did list Modafinil as one of R1's medication- with a notation that the medication cannot be "refilled at this time." The list was printed on 12/4/23.

In interview with the Administrator, Persida Pop, on 8/29/23, Administrator stated that they thought the Modafinil was discontinued. Administrator did not contact the physician for clarification nor a discontinue order.

In January 2024, R1's responsible party contacted R1's physician regarding the need for Modafinil. A new order was written and the medication was delivered on 1/11/24. LPA's review of the facility's Medication Administration record (MAR) for R1, did not record Modafinil administred until 1/13/24.

As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Report reviewed with Administrator . Copy of this report and appeal rights provided.