Based on an interview and record review, conducted during a site visit on 03/25/25, the facility's failure to carry out medication orders as prescribed was substantiated for 1 of 1 sampled resident (#3). Findings include, but are not limited to:  

A review of the signed physician order, dated 01/11/24, indicated Paxlovid 300 mg (150 mg x 2) - 100 mg dose packet. Take one packet by mouth two times daily for 10 doses.

A review of Resident 3's progress notes, dated 01/12/24 to 01/18/24, indicated missed doses of Paxlovid.

In an electronic communication, dated 03/26/25, Staff 1 (Administrator) acknowledged that three doses were missed.

The facility's failure to carry out medication orders as prescribed was substantiated.

Findings were reviewed with and acknowledged by Staff 1 via phone on 03/28/25.