Country Oaks Manor

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the LIcensee did not ensure that (R1) was administered scheduled medications, from approximately 4/28/23 through 5/9/23 (morning), while waiting for the medications to be delivered, which posed an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care(i) Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following: This requirement is not met as evidenced by: Based on interview, the Licensee did not document an ending medication inventory and obtain a signature when (R1's) medications were picked up on 5/17/23. The medications picked up on 5/9/23 were not logged on the LIC622-

Based on record review,, the licensee did not comply with the section cited above in (3) of (5) resident files which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as LPA observed multiple sharps to be in a drawer with a non-functioning lock, unsecured medications in resident (R1) room and in a cabinet near the kitchen, which poses an immediate health, safety or personal rights risk to persons in care.