complaint·November 6, 2025

Report Continued from LIC 9099... It was alleged that staff is mismanaging resident’s medication. It is the complainant’s concern that Resident #1 (R1) has been prescribed certain medications to help manage their pain; however, these medications are not being administered. Record review and interviews conducted revealed that R1’s current medication list includes the following pain medications: Norco 5-325 mg, 1 tablet by mouth every 6 hours as needed; Tylenol 8-Hour Extended Release 650 mg, 1 tablet by mouth every 8 hours as needed; and Tylenol 325 mg, 2 tablets by mouth every 4 hours as needed. According to the Medication Administration Record (MAR), the last time R1 received any PRNs was on 02/12/2025 for PRN Tylenol 650 mg. Staff interviews indicated that R1 frequently refuses medications, which has been ongoing since the beginning of the year. Staff also reported that they do not recall the last time R1 requested any PRN medication for pain. Further record review revealed that facility staff faxed R1’s Primary Care Physician (PCP) on 04/16/2025, to report R1’s repeated medication refusals and to inquire about possibly discontinuing the medications that R1 has been refusing. However, the facility has not received any orders or communication from the PCP regarding this matter. Staff stated that, in the meantime, they continue to document R1’s refusals on the MAR. Furthermore, during an interview, R1 stated that they have a low tolerance for pills and dislike taking medications. Based on the information obtained through record review and interviews, the Department has insufficient evidence to support the allegation of “staff is mismanaging resident’s medication”. Therefore, this allegation is deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was provided.