complaint·February 5, 2025

Allegation: Staff are mismanaging resident medication. Based on file review, it revealed R1 was prescribed Levetiracetam 500 mg tablet to be given one tablet by mouth, twice a day, effective date April 3, 2024. File review of R1's e-MAR, it revealed on April 25, 2024, one Levetiracetam tablet was administered at 9 a.m but not at 5 p.m as facility was "waiting refills". On April 26, 2024 at 9 a.m, it was recorded one Levetiracetam was administered, but then at 5 p.m Levetiracetam was not administered due to "waiting for delivery". Interview conducted with Health and Wellness Director revealed she was not working at the facility during this time in question and cannot explained why one dose was recorded as administered at 9 a.m on April 26, 2024 when it was pending on delivery as stated at 5 p.m. The Department finds the allegations to be SUBSTANTIATED - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Although the allegation was found to be substantiated, deficiency is not cited as LPA has cited facility for similar allegation in complaint control # 59-AS-20240610163326. An exit interview was conducted, a copy of the report and appeal rights provided to Executive Director.