complaint·December 1, 2023

Medication Timolol Mal Sol 0.5% OP 15ml bottle expired approximately 1 year after order date according to the Pharmacy Model Drug. The facility Centrally Stored Medication and Destruct Record (CSMDR) showed Timolol medic ation logged in for the months of April, July, November of 2022 and February, March of 2023. The facility Medication Administrator Record (MAR) shows medication Timolol listed from April 2022-March 2023 being given daily in 1 eye 2x’s per day as prescribed by the doctor. The Timolol medication ordered in July 2022 and then ordered in November of 2022 would not have provided enough medication to fill the requirements of the prescription order of 1 eye 2x’s per day. The Medication Latanoprost Sol 0.005% 2.5ml bottle needed to be discarded 6 weeks after the bottle was opened according to the Pharmacy Model Drug. The facility CSMDR record showed Latanoprost logged in for the months of May, June- 2x’s, July of 2022 and February, March 2023. The facility MAR showed the medication Latanoprost given in 1 eye 1 time per day from April 2022-March 2023 as prescribed by the doctor. The Latanoprost 2.5 ml bottle will last approximately 30 days according to the Pharmacy Model Drug and the medication needs to be discarded 6 weeks after opening the bottle. Medication Latanoprost would have needed to be ordered and logged on to the CSMDR every 6 weeks to be able to fill the doctor’s order and not be expired while using. The pharmacy Model Drug payment invoices showed there were no re-orders for Latanoprost in August, September, October, November, or December of 2022 and January of 2023. LPA reviewed the medication orders/invoices from Pharmacy Model Drung which showed Timolol was ordered on 04/07/22, 07/25/22, 11/15/22, 02/24/2023, 03/18/2023, and the medication showed Latanoprost was ordered on 04/06/22, 05/17/22, 06/20/22, 07/25/22, 02/24/23, and on 03/18/23. Based on the evidence this allegation is deemed Substantiated at this time. On the allegation: Staff did not assist with medications refills in a timely manner. LPA reviewed the medication order/invoices from the Pharmacy Model Drug which showed medications were not ordered monthly. The medication Timolol was not ordered in the months of May, June, August, September, October, December of 2022, and January of 2023. The medication Latanoprost was not ordered in August, September, October, November, December of 2022, and January of 2023. The medications were not being ordered to fill the doctor’s prescriptions orders or enough of the medication Latanoprost for it to not to be expired while using. Based on the evidence this allegation is deemed Substantiated at this time. Exit interview conducted, deficiency issued, copy of report and appeal rights printed for Licensee/Administrator.