Health inspection·September 29, 2023

F 0760 Ensure that residents are free from significant medication errors. Level of Harm - Immediate jeopardy to resident health or safety **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #1) of two residents reviewed for medication administration. Residents Affected - Few LVN A failed to transcribe the correction medication list when Resident #1 was discharged from the hospital back to the facility, which led to Resident #1 being administered incorrect medications from 09/14/23 to 09/16/23 which were originally for Resident #2. The IJ (Immediate Jeopardy) was identified as past noncompliance (PNC) on 09/14/23 and ended on 09/16/23. The facility provided sufficient evidence that all alleged violations were investigated, corrected, further medication errors prevented, and was in substantial compliance after the exit date of the last standard recertification and before the abbreviated survey began. This deficient practice could affect residents who received medication by not receiving the correct medication and dose, putting resident at risk for the potential for severe side effects. Findings included: Review of the facility's Provider Investigation Report, dated 09/17/23, revealed, On 9/14/2023, [Resident #1] admitted to the facility from [Hospital]. The facility received the patient's medication list which included medication list for another patient at the hospital. The admitting nurse, [LVN A] proceeded to enter the medication orders on the medication list she received from the hospital not realizing that the medication list she received included medication list for another patient on the same hospital unit who was also scheduled to transfer to a different unit at the facility. The pharmacy filled the order without identifying the error. Resident #1 was administered the medication on the list received from the hospital. On 9/16/2023, the facility discovered that the resident's medication list received from the hospital included pages of medication lists belonging to another male patient. The facility immediately notified the physician, who gave an order to send the resident to the hospital for observation and evaluation. The family was notified. The facility Ombudsman was notified. On 9/17/2023, the Resident #1's family member reported to the DON, [DON], RN that her mom was doing better but was diagnosed with Pneumonia. In addition, the facility immediately started education and in-services on admission Process- Hospital report paper must be used for every admission, two Nurses must verify the medication and sign on admission medication list provided, admission check-off must be completed by admitting Nurse and return to ADON within 24 hours of admission, staple discharge orders to it, reconcile medication with family or resident upon admission during baseline care plan. Medication should be read out to the Doctor for verification/reconciliation. Page 1 of 10 676351 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 Level of Harm - Immediate jeopardy to resident health or safety Review of Resident #1's face sheet, dated 09/28/2023 revealed the resident was an [AGE] year-old female admitted on [DATE] with the following diagnoses of dementia, hyperlipidemia, atherosclerotic heart disease, and cognitive communication deficit. Review of Resident #1's physician orders for 09/14/2023 revealed the resident was originally ordered to receive the following medications: Residents Affected - Few Acetaminophen 650 mg tab. Take 1 Tablet (650mg total) by mouth every 6 (six) hours as needed for pain. Calcium Carbonate-Vitamin D3 250 mg - 3.125 mcg (125 unit) Tab. Take 1 tablet by mouth daily with meal. Start taking on: September 15, 2023. Enoxaparin 40 mg/0.4 ml Syringe. Commonly known as: Lovenox. Inject 0.4 mls (40 mg total) under the skin daily for 14 days. Indications: deep vein thrombosis prevention in hip surgery. Hydrocodone-acetaminophen 5-325 mg per tablet. Commonly known as: Norco. Take 1 tablet by mouth every 6 (six) hours as needed (severe pain not responding to Tylenol). Indications: acute pain. Aspirin 81 MG EC tablet Hydralazine 25 mg tablet. Commonly known as: Aspresoline. Take 1 tablet (25 mg total) by mouth every 8-hour as needed (for BP 170/90 or higher) Melatonin 5 mg Chew Metoprolol 5 mg tablet. Commonly known as: Lopressor. Take ½ tab by mouth BID. Hold for SBP less than 100) Review of Resident #1's MAR for September 14, 2023, revealed Resident #1 was administered the following medications that were not originally ordered by the physician. These medications were listed on the hospital discharge paperwork for Resident #2: 676351 Page 2 of 10 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 - Level of Harm - Immediate jeopardy to resident health or safety Enoxaparin Sodium Injection Prefilled Syringe Kit 40 MG/0.4ML (Enoxaparin Sodium) Inject 1 vial subcutaneously one time a day for Blood Thinner for 14 Days. Given at 0800 - 08/15/23, 08/16/23. (This medication was on Resident #1's Hospital MAR). Residents Affected - Few Acetaminophen ER Oral Tablet Extended Release 650 mg (Acetaminophen) Give 1 tablet by mouth every 8 hours as needed for pain. May give two every 8 hours as needed for pain. May give two 325 tabs to equal 650mg. Apixaban Oral Tablet 5 MG (Apixaban) Give 1 tablet by mouth two times a day for Blood Thinner. Given at 0800 - 08/15/23, 08/16/23; Given at 1700 - 08/14/23, 08/15/23, 08/16/23. Bactroban External Cream 2 % (Mupirocin Calcium (Topical)) Apply to affected area topically two times a day for infection. Given at 0800 - 08/15/23, 08/16/23; Given at 1700 - 08/14/23, 08/15/23, 08/16/23. Abiraterone Acetate Oral Tablet 250 MG (Abiraterone Acetate) Give 4 tablet by mouth at bedtime for Hormone-Start Date: 09/14/2023 - Given at 2000. Given 09/14/23, 09/15/23, 09/16/23. Ascorbic Acid Oral Tablet 500 MG (Ascorbic Acid) Give 1 tablet by mouth one time a day for SUPPLEMENT-Start Date: 09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Aspirin Oral Tablet Delayed Release 81 MG (Aspirin) Give 1 tablet by mouth one time a day for blood thinner-Start Date: 09/15/2023 at 0800 - Given 09/15/23. Calcium Carbonate-Vit D-Min Oral Tablet (Calcium Carbonate-Vitamin D w/ Minerals) Give 1 tablet by mouth one time a day for Deficiency-Start Date: 09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Cholecalciferol Oral Tablet 125 MCG (5000 UT) (Cholecalciferol) Give 1 tablet by mouth one time a day for Deficiency-Start Date: 09/15/2023 at 0800 - Given 09/15/23, 09/16/23. 676351 Page 3 of 10 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 Colchicine Oral Tablet 0.6 MG (Colchicine) Give 1 tablet by mouth one time a day for Gout-Start Date: 09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Level of Harm - Immediate jeopardy to resident health or safety - Residents Affected - Few Furosemide Oral Tablet 40 MG (Furosemide) Give 1 tablet by mouth one time a day for edema-Start Date: 09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Miralax Oral Powder 17 GM/SCOOP (Polyethylene Glycol 3350) Give 1 scoop by mouth one time a day for Constipation-Start Date:09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Montelukast Sodium Oral Tablet 10 MG (Montelukast Sodium) Give 1 tablet by mouth one time a day for inflammatory/allergy-Start Date: 09/15/2023 at 0800 Given 09/15/23, 09/16/23. Multivitamin Oral Tablet (Multiple Vitamin) Give 1 tablet by mouth one time a day for SUPPLEMENT-Start Date: 09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Pantoprazole Sodium Oral Tablet Delayed Release 40 MG (Pantoprazole Sodium) Give 1 tablet by mouth in the morning for Ulcer-Start Date: 09/15/2023 at 0600 - Given 09/15/23, 09/16/23. Prednisone Oral Tablet 5 MG (Prednisone) Give 1 tablet by mouth at bedtime for Inflammation (take at night along with Zytiga)-Start Date: 09/14/2023 at 2000 - Given 09/15/23, 09/16/23. Probiotic Oral Capsule (Saccharomyces Boulardii) Give 1 capsule by mouth one time a day for SUPPLEMENT-Start Date: 09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Rosuvastatin Calcium Oral Tablet 40 MG (Rosuvastatin Calcium) Give 1 tablet by mouth at bedtime for Cholesterol-Start Date: 09/14/2023 at 2000 - Given only 09/14/23. 676351 Page 4 of 10 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 Senna-Docusate Sodium Oral Tablet 8.650 MG (Sennosides-Docusate Sodium) Give 1 tablet by mouth one time a day for Constipation-Start Date: 09/16/2023 at 0800 - Given only 09/16/23. Level of Harm - Immediate jeopardy to resident health or safety - Residents Affected - Few Tolterodine Tartrate ER Oral Capsule Extended Release 24 Hour 4 MG (Tolterodine Tartrate) Give 1 capsule by mouth one time a day for UTI-Start Date: 09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Duloxetine HCl Oral Capsule Delayed Release Particles 60 MG (Duloxetine HCl) Give 1 capsule by mouth two times a day for Depression-Start Date: 09/14/2023 at 1700/0800 - Given at 0800 - 09/15/23, 09/16/23 and 1700 - 09/15/14, 09/15/23, 09/16/23. Hydralazine HCl Oral Tablet 25 MG (Hydralazine HCl) Give 1 tablet by mouth two times a day for Hypertension (Hold IF SBP<110 OR DBP<60)-Start Date: 09/14/2023 at 1700/ 0800 - 09/15/23 (BP 115/82, Pulse - 103), 0800 - 09/16/23 (BP-140/94, Pulse-72), 1700 - 09/14/23 (BP-114/64, Pulse-73), 09/15/23- (BP-100/66, P-73), 09/16/23 (no BP or P documented). Metoprolol Tartrate Oral Tablet 25 MG (Metoprolol Tartrate) Give 1 tablet by mouth two times a day for Hypertension (Hold IF SBP<110 OR DBP<60)-Start Date: 09/15/2023 at 0800 /1700- 09/15/23 - (BP 115/82, P-103), 09/16/23 (BP-140/64, P-72) 1700- 09/15/23 (BP-100/66, P-73), 09/16/23 (No BP 0r P documented) Potassium Chloride ER Oral Tablet Extended Release 10 MEQ (Potassium Chloride) Give 1 tablet by mouth two times a day for Low potassium-Start Date: 09/15/2023 0800/1700 - Given both days at each time 09/15/23, 09/16/23. Pregabalin Oral Capsule 225 MG (Pregabalin) Give 1 capsule by mouth two times a day for Nerve pain-Start Date: 09/15/2023 at 0800/1700 - Given both days at each time 09/15/23, 09/16/23. Keflex Oral Capsule 500 MG (Cephalexin) Give 1 capsule by mouth four times a day for skin infection for 4 Days-Start Date: 09/14/2023 - Given at 2000 on 09/14/23. Given at 0800, 1200, 1600, 2000 on 09/15/23 and 09/16/2023. Tylenol Extra Strength Oral Tablet 500 MG (Acetaminophen) Give 1 tablet by mouth four times a day for pain-Start Date: 09/15/2023. Given 09/15/23 at 1600, 2000; 09/16/23 at 0800, 1200, 1600, 2000. 676351 Page 5 of 10 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 Level of Harm - Immediate jeopardy to resident health or safety Review of Resident #1's head-to-toe assessment, dated 09/16/2023, revealed RN completed the assessment and indicated the resident did not experience adverse side effects. Interview on 09/29/2023 at 11:02 AM with Resident #2 revealed he was discharged from hospital on [DATE] and admitted to this facility the same day as Resident #1. Resident #2 stated he received medications as ordered per his physician orders and did not experience adverse effects from his medication. Residents Affected - Few Review of Resident # 2's physician orders and MAR from resent hospital discharge to facility revealed: Acetaminophen ER Oral Tablet Extended Release 650 mg (Acetaminophen) Give 1 tablet by mouth every 8 hours as needed for pain. May give two every 8 hours as needed for pain. May give two 325 tabs to equal 650mg. Order Date: 09/14/2023 Start Date: 09/14/2023. Eliquis Oral Tablet 5 mg (Apixaban) Give 1 tablet by mouth two times a day related to Unspecified Diastolic (Congestive) Health Failure (150/30) Order Date: 09/14/2023 Start Date: 09/15/2023. Atorvastin Calcium Oral Tablet 40 mg (Atorvastin Calcium) Give 1 tablet by mouth in the evening for hyperlipidemia. Order Date: 09/14/2023 Start Date: 09/15/2023. Zytiga Oral Tablet 250 MG (Abiraterone Acetate) Give 4 tablet by mouth at bedtime related to Personal History of Malignant Neoplasm of Malignant Prostate - Order Date: 09/14/2023. Start Date: 09/14/2023. Vitamin C Oral Tablet 500 MG (Ascorbic Acid) Give 1 tablet by mouth one time a day for SUPPLEMENTOrder Date: 09/14/2023. Start Date: 09/15/23. Aspirin Oral Tablet Delayed Release 81 MG (Aspirin) Give 1 tablet by mouth one time a day for blood thinner-Order Date: 09/14/2023 Start Date: 09/15/2023. Cholecalciferol Oral Tablet 125 MCG (5000 UT) (Cholecalciferol) Give 1 tablet by mouth one time a day for Deficiency-Order Date: 09/14/2023 Start Date: 09/15/2023. 676351 Page 6 of 10 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 Colchicine Oral Tablet 0.6 MG (Colchicine) Give 1 tablet by mouth one time a day for Gout-Order Date: 09/19/2023 Start Date: 09/29/2023. Level of Harm - Immediate jeopardy to resident health or safety - Residents Affected - Few Furosemide Oral Tablet 40 MG (Furosemide) Give 1 tablet by mouth one time a day for edema-Order Date: 09/14/2023 Start Date: 09/15/2023. Miralax Oral Powder 17 GM/SCOOP (Polyethylene Glycol 3350) Give 1 scoop by mouth one time a day for Constipation-Start Date:09/15/2023 at 0800 - Given 09/15/23, 09/16/23. Montelukast Sodium Oral Tablet 10 MG (Montelukast Sodium) Give 1 tablet by mouth one time a day for inflammatory/allergy-Order Date: 09/14/2023 Start Date: 09/15/2023. Multivitamin Oral Tablet (Multiple Vitamin) Give 1 tablet by mouth one time a day for SUPPLEMENT-Order Date: 09/15/2023 Start Date: 09/14/23. Protonix Oral Tablet Delayed Release 40 MG (Pantoprazole Sodium) Give 1 tablet by mouth in the morning for GERD-Order Date: 09/14/2023. Start Date: 09/15/23. Prednisone Oral Tablet 5 MG (Prednisone) Give 1 tablet by mouth at bedtime for Inflammation (take at night along with Zytiga)-Order Date: 09/14/2023 Start Date: 09/15/2023. Probiotic Oral Capsule (Saccharomyces Boulardii) Give 1 capsule by mouth one time a day for SUPPLEMENT- Order Date: 09/14/2023 Start Date: 09/15/23. Senna-Docusate Sodium Oral Tablet 8.650 MG (Sennosides-Docusate Sodium) Give 1 tablet by mouth one time a day for Constipation-Order Date: 09/14/2023 Start Date: 09/15/2023. Tolterodine Tartrate ER Oral Capsule Extended Release 24 Hour 4 MG (Tolterodine Tartrate) Give 1 capsule by mouth one time a day for UTI-order Date: 09/14/2023 Start Date: 09/15/2023. 676351 Page 7 of 10 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 Duloxetine HCl Oral Capsule Delayed Release Particles 60 MG (Duloxetine HCl) Give 1 capsule by mouth two times a day for Depression-Order Date: 09/14/2023 Start Date: 09/15/2023. Level of Harm - Immediate jeopardy to resident health or safety - Residents Affected - Few Hydralazine HCl Oral Tablet 25 MG (Hydralazine HCl) Give 1 tablet by mouth two times a day for Hypertension (Hold IF SBP<110 OR DBP<60)-Order Date: 09/15/2023 Start Date: 09/16/2023. Metoprolol Tartrate Oral Tablet 25 MG (Metoprolol Tartrate) Give 1 tablet by mouth two times a day for Hypertension (Hold IF SBP<110 OR DBP<60)-Order Date: 09/14/2023. Start Date: 09/15/2023. Potassium Chloride ER Oral Tablet Extended Release 10 MEQ (Potassium Chloride) Give 1 tablet by mouth two times a day for Low Potassium-Order Date: 09/14/2023 Start Date: 09/15/2023. Pregabalin Oral Capsule 225 MG (Pregabalin) Give 1 capsule by mouth two times a day for Nerve pain-Order Date: 09/14/2023 Start Date: 09/15/2023. Interview on 09/29/2023 at 10:21 AM with LVN A revealed that medication error occurred after LVN A was given the discharge papers from the paramedics. Paramedics arrived with Resident #1 on 09/14/2023 at 6:27 PM. Paramedics provided discharge papers from [Hospital]. LVN A stated the discharge summary had Resident #1's name at the top of the page and Resident # 2's at the bottom and did not notice this on the hospital MAR. She stated the medications listed were for Resident #2, not Resident #1, which she ended up transcribing. Wrong medications were ordered as a result. Resident #1 and Resident #2 both admitted on [DATE] back to the facility and it was the hospital that sent the wrong documentation. When LVN A sent the orders to be sent to the pharmacy to be filled, the pharmacy also did not catch the mistake. LVN A was suspended on 09/18/2023 for medication error and in-service and training was provided to prevent reoccurrence. LVN A revealed that she was unable to comment on if the resident suffered adverse effect but Resident # 1 was sent out to hospital for breathing difficulties. LVN A revealed the in-service was held on 09/16/2023. She stated when new patients arrive from the hospital, nurses were to verify every page of medications with resident/family. She stated she was to contact the Physician with information concerning medications and to have another nurse to check as well. The DON/ADON were to check medications after her and orders were to be texted to the Physician. Orders had to be written out by the nurse receiving the order on Telephone order. Reviewed LVN A's employee file on 09/29/2023, revealed there are no disciplinary actions in file. Reviewed the EMR/NAR with no findings. LVN license was current with no disciplinary actions against license. Interview on 09/29/2023 at 10:44 AM with the Physician (who was Resident #1's primary physician) revealed that Resident #1 did not suffer any adverse reaction from the medication error(s). Physician revealed on 09/16/2023 Resident #1 was having breathing difficulty because of pneumonia unrelated to the medications. Resident #1 transferred to the hospital for evaluation and treatment after being administered the incorrect medications. Resident #1 is now in another SNF/NF and was at her baseline. 676351 Page 8 of 10 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 Level of Harm - Immediate jeopardy to resident health or safety Physician revealed that the hospital mixed up the physician orders before they sent them to the facility. Both residents (Resident #1 and Resident #2) were being transferred to the facility at the same time after hospitalization. Physician stated would speak to the head of the department to discuss how the orders were easily mixed up and could cause issues at the facility level. Physician revealed that Resident #1 and Resident #2 were on the same floor at the hospital, so the physician discharge orders were mixed up before sent with paramedics. Residents Affected - Few Interview on 09/29/2023 at 11:18 AM with LVN C revealed the process to follow receiving hospital discharge papers for new admission included the charge nurse receiving the new resident would sign off on paper packet, speak with the family, review and verify medication list with resident/family, reconcile and inform physician of any discrepancies , put medications into the system, get consent for medications that would require consent, complete assessments, and chart. LVN C revealed it was the nurse on shift that was responsible for inputting the correct data into the system and the ADON was to come behind and ensure it was correct. For any medication administration error found, the nurse was to immediately notify the physician and DON/Administrator. A head-to-toe assessment would be completed which included checking for cognitive orientation, neuro status, vitals, check lungs, speaking to physician if blood work was needed and asking how the resident was feeling. LVN C revealed nursing staff were in-serviced on medication error by the DON. Facility staff were in-serviced on the following: right name, right order, right patient, right route, and how it was given. LVN C stated nursing staff were to check for any recent changes to medications and dosages. If any discrepancies, the nurse was to contact the physician, the family, the DON and monitor the resident for adverse reactions. The DON conducted the in-service for facility nurses. When pharmacy delivers medications, to prevent medication error, nurses were to compare the list received with the medications. Nurses were to check the MAR when administering. LVN C was unaware of any adverse effects Resident #1 experienced. Interview on 09/29/2023 at 11:34 AM with DON revealed after auditing the medications on 09/16/23, there were no additional medication errors found. Resident #1 was the only one affected. The DON stated since the incident, the facility changed admission tasks and required receiving nurse to check medications immediately and have at least two nurses verified. The family, DON, ADON would need to be notified. All nursing staff were in-serviced by the DON and it was held on 09/19/2023. The DON stated she was unaware of any side effects Resident #1 experienced. Interview on 09/29/2023 at 11:45 AM with Administrator revealed after auditing, no other residents were affected. The only incident that happened was related to Resident #1. The Administrator stated the interventions made after the incident was the facility now required two nurses to review the admission paperwork as well as the DON and ADON. The resident and/or family would be notified to verify medications and care plan. All nursing staff were in-serviced on 09/16/2023 by the DON. Administrator revealed that he was not a clinician, so he spoke with [physician] on 09/16/23 and there was informed no side effects from medications. Interview on 10/06/2023 at 12:14 PM with RN B revealed he was called to Resident # 1's room by Activity Staff due to Resident # 1 was complaining of breathing difficulties on 09/16/23. RN B checked oxygen stats and placed oxygen on Resident # 1 to make her comfortable. RN contacted Physician. Family member revealed to RN B that Resident #1 had told her that she was given medication tablets she was not familiar with. Family member had a list and provided it. RN compared the list daughter had with the Physician Orders in Resident's chart and noted that there were medications that did not belong to Resident #1. RN B immediately called the DON and Physician. Physician arrived at facility and assessed resident. Resident tested for Covid-19 and test was negative. Physician ordered resident to be sent to hospital 911. 676351 Page 9 of 10 676351 09/29/2023 Discovery Village at Southlake 201 Watermere Drive Southlake, TX 76092

F 0760 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Review of the facility's in-service by the DON, dated 09/16/23, revealed facility nurses (including LVNs/RNs) were trained on two nurses to verify medication and name on every page during admission. Review of the facility's in-service by the DON, dated 09/16/23, revealed nurses (including LVNs/RNs) were trained on all orders text by the [physician] must be written out by the nurse receiving the order. Review of the facility's in-service by the DON, dated 09/16/23, revealed nurses (including LVNs/RNs) were trained on discontinuing resident medication list, immediately after discharge. Review of the facility's in-service by the DON, dated 09/16/23, revealed nurses (including LVNs/RNs) were trained on verifying medication with the family and upon admission, to verify medication and skin issues with family. Review of the facility's in-service by the DON, dated 09/16/23, revealed nurses (including LVNs/RNs) were trained on medication to be called out to physician upon admission as well as no two anticoagulant drugs to be administered without verifying with physician. Review of the facility's in-service by the DON, dated 09/16/23, revealed nurses (including LVNs/RNs) were trained on discontinuing medication list 24-hours after discharge to hospital. Review of the facility's in-service by the DON, dated 09/16/23, revealed nurses (including LVNs/RNs) were trained on paying attention to safe medication practices - the right patient, the right drug, the right time, the right dose, and the right route. Review of the facility's in-service by the DON, dated 09/16/23, revealed nurses (including LVNs/RNs) were trained on hospital paperwork to be used during report. Review of the facility's in-service by the DON, dated 09/16/23, revealed nurses (including LVNs/RNs) were trained on admission check-off. Review of facility's policy on Medication-Administration, revised 06/2020, revealed, .Compare the Licensed Practitioner's prescription/order with the MAR (first check) Verify the resident's identify before administering the medication . Review of the facility's policy on admission and Orientation of Residents, dated 06/2020, revealed, .will provide the following information to the Admissions Office: .C. Medication orders, including a medical condition or problem associated with each medication . 676351 Page 10 of 10