- Date
- 12/2/2015
- Report number
- OR0001034701
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Failure to keep an accurate Medication Administration Record (MAR) on all medications that are ordered by a legally recognized prescriber and are administered by the facility4110540055(2)Staff 1 was interviewed on December 16, 2015 and indicated that Resident 1's MAR count was inaccurate on November 23, 2015. When this was discovered, Staff 6 called Staff 1 who immediately drove into work & conducted an internal investigation. The internal investigation yielded an inaccurate narcotic count for Resident 1's medication. Staff 5 was the only staff assigned to administer medication to Resident 1. Resident 1 via interview on December 16, 2015 confirmed that from October 26, 2015 November 22, 2015, he did not receive any medication from Staff 5 although MAR states so.