Follow-up·October 22, 2021

Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced case management visit for clarification of an incident that was reported on 10/09/21. LPA met with Patricia Holugin and stated the reason for the visit. LPA Johnson reviewed documents from multiple doctor's visit in October of 2021, R1 is being treated for Arthralgia and an ongoing issue with a wound on the buttocks. The facility received discharge papers with medication (Lidocaine) to be picked up at the pharmacy on 10/2/2021. The discharge papers did not have a doctor's signature electronically or an original signature. The facility requested via fax to the doctor's office to have the order confirmed. Once confirmed the facility followed the orders of the doctor. On 10/7/2021, the facility received a letter from R1's doctor requesting the start of a topical ointment at 12.8%. The letter was not signed by the doctor. The facility requested to have the order signed and clarification of the area to apply the ointment, it was signed on 10/8/2021 by R1's doctor and the facility complied with the orders. Based on the records reviewed, the facility complied with the orders of the doctor after receiving clarification of orders and obtained the signed documents from R1's doctor. Also noted, the facility has three fax lines that are operational. No deficiencies cited