Follow-up·March 11, 2022

Licensing Program Analyst (LPA) Kevin Mknelly arrived unannounced to conduct a case management inspection as a follow up on a incident report received on 3/9/22 of a medication incident on 3/4/22. Prior to initiating today's inspection, LPA's completed required COVID-19 testing protocols and completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA's was screened per Covid-19 precautionary measures upon entering the community. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical mask. LPA was accompanied by Administrator and Regional Care Specialist to the med cart and medication tech (S1) who had misinterpreted R1 medication order on 3/4/22. Though S1 mistakenly prepared two vials of a medication instead of the prescribed one vial, R1 refused that medication on 3/4/22 so the medication was not given. Licensee will clarify medication dose language with all med techs and consult with the pharmacy that prepares MARS to record commonly used language. There are no deficiencies being cited from this case management. Exit interview. Copy of report left at facility.