complaint·August 9, 2024

R1 clarified that no medications were actually expired. R1 stated they no longer needed ten (10) of their thirteen (13) medications and only wanted to take three (03) of them. LPA reviewed R1’s medications at 3:30 p.m. and saw no expired medications. Review of R1’s physician orders revealed R1 had fourteen (14) routine medications which were prescribed on 07/03/24 when R1 was admitted to the facility. Interview with S3 revealed that the physician prescribed all medications that R1 had at their previous facility. S3, S4, and S5 stated all physician orders are followed when assisting residents with medication and no expired medications are given. Based on interviews, record review, and medication review, the facility properly followed physician orders and did not administer expired medications. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation “Staff did not administer medication as prescribed” it was alleged the facility administered ten (10) additional, unnecessary medications, and that R1 did not receive their medications on 07/17/24. Interview with R1 revealed they believed they only need three (03) of their medications. Interview with S3 revealed R1 often refuses thyroid and seizure medication which they need. Review of R1’s MAR from July 2024 revealed R1 refused fourteen (14) out of fourteen (14) morning medications. Staff documented R1’s reason for refusing medication on 07/17/24 as “I’m not going to take my medications because it made me sick”. Staff documented refusals on other days as “I’m not depressed”, “I don’t have seizures”, and “I don’t have a thyroid problem”, and “I don’t want it”. S3, S4, and S5 confirmed R1 frequently refuses medications. Based on interviews and record review, the facility administered R1’s medications as prescribed. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health and safety risks were observed during today’s visit. Exit interview conducted. Copy of report provided.