Complaint Investigation Report

Allegation: Facility staff failed to notify resident’s Physician regarding medication: Progress notes for R1 reviewed by LPA revealed three entries regarding a blood pressure medication order discrepancy. An entry on 2-3-22 states pharmacy was called. The following entry was on 2-15-22 which states clinic was called and staff was waiting for a response “within 24 hours.” The last entry was on 2-18-22 which states a staff member notified R1’s responsible person asking for assistance in obtaining a medication list. The progress notes did not specifically state a specific physician was notified to address the medication discrepancy for R1. The above information was also confirmed through staff interviews. Based on interviews and record reviews, it is determined that R1’s physician was not efficiently notified for medication order clarification for R1. As a result the preponderance of evidence standard exists, therefore this allegation is SUBSTANTIATED.

Deficiencies are cited under Title 22, Division 6. An exit interview was conducted with Jenna Silva and a copy of this report was left with Jenna. Appeal Rights provided.