- Date
- 9/11/2024
- Report number
- CALMS - 00083427
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Findings
- Based on interview and record review, conducted during a site visit on 02/11/25, the facility's failure to carry out medication orders as prescribed was substantiated for 1 of 1 sampled resident (#1). Findings include, but are not limited to: A review of Resident 1's signed physician ordered, dated 08/29/24, revealed an order for: *"Hydrocodone/APAP 5-325 mg (norco) 1 Tab by mouth every 6 hours at 1000, 1600, 2200, and 0400". A review of Resident 1's MAR dated 09/01/24 through 09/30/24 revealed all four administrations were not completed on 09/11/24. An interview with Resident 1 confirmed s/he had not received his/her hydrocodone. The facility's failure to carry out medication orders as prescribed was substantiated. Verbal plan of correction: Facility will ensure medications are ordered seven days in advance whenever possible by adding a task to the MAR.