- Date
- 10/21/2024
- Report number
- CALMS - 00083411
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Findings
- Based on observation, interview, and record review, conducted during a site visit on 10/21/24 the facility’s failure to carry out medication and treatment orders as prescribed was substantiated for 1 of 1 sampled resident (# 1). Resident 1’s physician orders, dated 07/23/24, indicated s/he was to
receive a pureed diet and use a “Safestraw” with liquids. On 10/21/24, Resident 1 was observed to be served a mechanical soft diet. Staff were not observed assisting Resident 1 with his/her Safestraw. Staff 5 (LPN) stated staff had “confused” Resident 1’s plate with another resident’s. The facility’s failure to carry out medication and treatment orders as prescribed was substantiated.