Follow-up·July 23, 2024

Licensing Program Analyst (LPA) Avelina Martinez arrived at facility unannounced to conduct a case management visit on 07/23/2024 at 10:50 AM. LPA Martinez met with Andrea Armstrong and explained the purpose of the visit. The purpose of the visit today is to conduct a quarterly visit. LPA Martinez followed up with the following: Staffing Concerns : LPA Martinez will return to follow up on medication training. Medication Errors: LPA Martinez will return to the facility to follow up on medication error incident. Medication Audit: A medication Audit was completed on July 18, 2024 Reporting Requirements: The Department received a medication error incident report on July 17, 2024. Medication Training : LPA Martinez will return to follow up on medication training. Facility Polices Regarding: Assessments, Monitoring of residents, Change in condition, Medication errors. LPA Martinez will return to follow up on medication training. Quarterly Visit Review: LPA Martinez reviewed seven resident files and conducted interviews in regards to medication errors. LPA Martinez will follow up on the seven files at a later time. LPA Martinez will conduct a continuation quarterly visit. There were no deficiencies cited at this time, and exit interview was conducted. A copy of this report was provided to the facility.