Dawson's Lodge

Maintain records of centrally stored medication dosages

Based on observation the licensee did not comply with the section cited above in which poses a potential health, and safety risk to persons in care. Licensee did not ensure that the Resident Centrally Stored Medication and Destruction Record (CSMDR) were not maintained in resident files for 6 out of 8 residents in care.

87211 Reporting Requirements.(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below: (D) Any incident which threatens the welfare, safety or health of any resident…This requirement was not met as evidenced by: Based on interview and record review, an incident in which R1 overdosed on medication and hospitalized was not reported to Licensing department. This posed a potential health and safety risk to resident in care.

Maintain required personnel records for staff

Based on observation, interview and record review, the licensee did not comply with the section cited above. The licensee did not ensure that staff files were complete. Staff files was missing LIC 501, personnel record, LIC 503, Health and Screening Results with TB, LIC 9052, Employee Rights and Medical Training Verification, which poses/posed a potential health, safety or personal rights risk to persons in care.

Assist PRN administration when symptoms unclear

Based on observation, interview and record review, the licensee did not comply with the section cited above. The licensee did not ensure there was a plan in place for the facility to document medication being distributed to residents. Facility does not use Medication Administration Record (MAR) or Centrally Stored Medication Destruction Record (CSMDR). Administrator stated that they just give residents their medication per doctor direction, but does not have a tracking system, which poses/posed a potential health, safety, or personal rights risk to persons in care.

Resident record must include minimum required items

Based on observations, interview and record review, the licensee did not comply with the section cited above. The licensee did not ensure residents file were complete. Resident 1 (R1) is missing LIC 601 Identification/emergency , Individual Plan (IPP), LIC 613 Personnel Rights, MAR sheet or CSDMR, and TB. (R2) is missing: LIC 625 Needs and Services, CSMDR or MAR sheet, LIC 613 personal right. (R3) is missing MAR or CSMDR and LIC 625 Needs and service plan. (R4) is missing CSMDR or MAR sheet, LIC 625 Needs and Service Plan, LIC 613 Personal Right. (R5) is missing TB, MAR or CSMDR, LIC 625 Needs and Service Plan, LIC 601 Identification/Emergency Sheet, which poses/posed a potential health, safety or personal rights risk to persons in care.