Follow-up·April 8, 2026

In conjunction to the complaint 31-AS-20260330151508 , Licensing Program Analyst (LPA) Mariana Agban conducted a Case Management visit. During the course of the investigation, LPA made the following observations: · Resident #1 (R1): There was no documentation of insulin administration recorded in the Centrally Stored Medication and Destruction Record (LIC 622). Additionally, the Administrator did not ensure that the insulin container matched the medication label, including verification of the appropriate quantity. · Resident #2 (R2): The Centrally Stored Medication and Destruction Record (LIC 622) was not up to date. Records reflected a fill date of 03/03/26; however, R2 received a new medication with a fill date of 03/30/26. · Resident #3 (R3): The Administrator reported that R3’s medication had run out and that the facility is currently awaiting a refill. · Resident #4 (R4): The Administrator reported that R4’s medication had run out and that the facility is currently awaiting a refill. · Resident #5 (R5): No medications were observed on site. The Administrator stated that R5 has been refusing to attend medical appointments and obtain medications. The LPA did not observe any medication refusal documentation at the time of the visit. The Administrator stated that the documentation would be provided promptly. LPA reviewed the facility’s Plan of Operation p.4, which states: "This facility will assist residents with their medications. This includes centrally storing medications, assisting residents with taking medications as prescribed, reordering medications as necessary, documenting refusals, and notifying the physician and family/responsible party." Based on observations, record review, and interviews conducted, the facility did not follow its Plan of Operation. An exit interview was conducted. Citations were issued. Appeal rights were provided, and a copy of this report was reviewed with and signed by the Administrator Designee