complaint·January 3, 2022

Conitnued from LIC 9099... It was alleged that staff do not administer resident's medication as prescribed. It was reported that Resident #1 (R1) medications had not been administered to them during the evening hours as prescribed. Furthermore, review of Medication Administration Record (MAR) by an outside nurse was observed to be mostly blank except for a couple initials to indicate medications were administered during September 2020 and on occasion in which the client refused his medication. Interview with the administrator revealed that the facility uses both the MAR and centrally stored to keep track of their medication. Administrator stated that pharmacy audits are conducted every six months and they check random samples of residents. According to administrator, R1 had no issues with their medication. If at any time, a resident was not able to pay for their medications, the facility paid. Furthermore, LPA obtained a statement from R1’s former pharmacy which stated, “they never withheld delivery of medications for patients for any reason such as facility not paying for copays because it is not the facility’s responsibility to pay. We also have a policy of trying all means to work with patients to set up payment plans for patients that cannot afford copays or to see if they are eligible for forgiveness.” During the medications and centrally stored audit, LPA’s observed the centrally stored to be complete. The centrally stored for September 2020 had medication Albuterol 90 mcg, to be taken by mouth four (4) times a day as needed; however, medication was self-administered by R1. At that point, R1 had the ability to request for those PRN when needed and staff would administer it. In fact, the centrally stored had refusals for certain medications, the nurse’s notes tracked the refusal for those specific times as well stating contact with residents’ doctor regarding medication refusal. Based on record review, the allegation of “Staff do not administer resident's medication as prescribed.” is deemed Unsubstantiated at this time. Exit interview conducted. No citations issued. A copy of report provided via email.