Complaint·January 11, 2024

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. Facility ran out of a medication for Resident (R1) resulting in missed administration of the medication on 10/29/2023 and 10/30/2023. Through statements and review of documents it has been determined that: Facility requested the medication refill 6 or 7 days before needed from the Medical Clinic; Facility Health Services Director states that the Medical Clinic delayed the refilling of the medication due to an internal communications issue and apologized for the delay but refused to put a statement in writing; Staff were unable to administer the medication on 10/29 and 10/30 due to the delay in obtaining the refill; Based upon statements and review of documents, it appears the facility made a reasonable attempt to obtain the medication before it was depleted; Although the allegations may be true or valid, there is not a preponderance of evidence to prove or disprove the allegations. Therefore, the allegations are UNSUBSTANTIATED. Repot left.