Complaint·July 12, 2024

LPA reviewed medication records and it was found out that the medication that is needed to be taken on specific time and interval were not given accordingly on both months of February and March of 2024, the medication were administered on the following times, 2 tablets every 6:30am, 12:00pm, 6:00pm. Having an interval of 4.5 hours to 6 hours. There were no doctors’ orders specific to the time that the medication needs to be given. All that was provided was that it needs to be administered 3x/day. LPA was able to obtain a copy of the order but was dated 4/10/2024. This has been followed upon receiving this order. The medication administration record since April already reflected that it is given at 6am, 11am & 5pm. LPA was also able to interview R1s physician (DR). DR confirmed that the medication should be taken every five hours and that based of the medication orders given it should be at taken at 6am,11am & 5pm. LPA also interviewed a staff (S1) and It was stated that the yellow pill mentioned is an order for daily aspirin, in the morning. That tablet is in fact small and pale yellow in color. During the interview S1 stated that there were no discrepancies, errors, refusals, or conversations about the medications as they were given as prescribed the morning of the 28th. LPA also observed one of the medications for R1 as having a pale yellow in color. Based on interviews and observations, the department has determined that that the allegations were false, could not have happened and/or is without a reasonable basis, therefore the allegations are UNFOUNDED. Report is reviewed and copy is provided.