Complaint·September 11, 2023

Upon review of R1's Medication Administration Record (MAR), medication #1 (M1) was not noted on R1's medication list; however, additional documentation was received by a relevant party that presented R1 was to consume M1 per written prescription orders during the month of 3/2022. Record review provided by the facility did not include M1 on the Medication Administration Record (MAR) for the month of 3/2022. Additionally, the facility provided a "medication release" form dated 3/25/2023 for a "home visit", and, upon review, did not include the medication M1, that R1 was supposed to be consuming per written prescription orders. Further, the Department conducted a review of several other resident's medication records and found no discrepancies. LPA then conducted resident interviews and found that resident's are getting their medications as prescribed. Thus, as a result of the evidence obtained, the Department found that the allegation was Substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where a copy of this report was discussed with and provided to Executive Director Monya Henry along with copies of the LIC811, LIC9099C, LIC9099D, and Appeal Rights. This is an amended version of the original report dated 7/11/2023.