Print Inspection: GJYV

Based on interview and record review, conducted during a site visit on 01/02/24, it was confirmed the facility failed to carry out medication orders as prescribed for 2 of 2 sampled residents (#'s 3 and 7). Findings include the following:

a. A review of Resident 3's MAR from April 2022 and his/her physician orders dated 01/02/24 which indicated resident was not administered Metoprolol 25 mg from 04/15/22 - 04/20/22 due to the medication not being available. From 04/04/22 - 04/06/22 resident did not receive Tamsulosin 0.4 mg due to medication not being available.

In an interview on 01/02/24, Staff 1 (Executive Director) there had been issues with getting Resident 3's medications ordered and delivered timely years ago, but it has since been resolved.

b. A review of Resident 7's MAR from May 2022 and his/her physician orders dated 05/31/22 indicated multiple medications not documented on from 05/07/22 - 05/08/22 with no indication if medications were given or not.

The facility failed to carry out medication orders as prescribed.

The findings of the investigation were reviewed with and acknowledged by Staff 1 on 01/02/24.

Facility Verbal Plan of Correction: The Executive Director had already taken steps to correct medication ordering issues with Resident 3, Resident 7 was no longer a resident.