Health inspection·May 1, 2023

F 0761 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, observation, resident and staff interviews, and policy review, the facility failed to ensure a resident consumed his medications at the time of administration resulting in unattended medications at a resident's bedside. This affected one (#172) resident out of four residents reviewed for medication administration. Facility census was 94. Findings include: Review of the medical record for Resident #172 revealed an admission date of 04/13/23 with medical diagnoses of disorder of the brain, peripheral vascular disease, diabetes mellitus, and benign prostate hypertrophy. Review of the medical record for Resident #172 revealed an admission Minimum Data Set (MDS), dated [DATE], which indicated Resident #172 was cognitively intact and required extensive assistance with bed mobility, transfers, toileting, and dressing. Review of the medical record for Resident #172 revealed no documentation to support a medication self-administration assessment was completed. Review of the medical record for Resident #172's physician orders revealed no order for medication self-administration. Observation with interview on 05/01/23 at 9:27 A.M. of Resident #172 revealed Resident #172 sitting in his recliner with bedside table in front of the recliner. A medication pill cup with four medications was observed sitting on Resident #172's bedside table. Resident #172 stated the nurse left the pills on his bedside table while she went to get more water for him. Resident #172 stated the nurse had left to get water a while ago but must have gotten busy with other residents and forgot to bring him water. Interview on 05/01/23 at 9:35 A.M. with Licensed Practical Nurse (LPN) #130 confirmed Resident #172 had a medication pill cup with four medications sitting on his bedside table and that she had left the medications in Resident #172's room while she went to get a large cup of water for Resident #172. LPN #130 confirmed she was passing medications to other residents on the unit at the time of the interview and had forgotten to get the water for Resident #172 to take his medications. Review of the policy titled, Administering Oral Medications, revised October 2010, stated the staff Page 1 of 2 365714 365714 05/01/2023 St Leonard Hcc 8100 Clyo Road Centerville, OH 45458

F 0761 member was to remain with the resident until all medications have been taken. Level of Harm - Minimal harm or potential for actual harm This deficiency represents non-compliance investigated under Complaint Number OH00142054. Residents Affected - Few 365714 Page 2 of 2