Violation Details: OR0003671804

Date
7/12/2022
Report number
OR0003671804
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
Based on record review and interview it was confirmed that the facility failed keep an accurate Medication Administration Record (MAR). Findings include but not limited to: A review of Resident #1's MAR for September 2022 indicated that resident was out of a medication beginning on Saturday 09/03/2022. The MAR indicated that this med was given on 09/04/2022 and then it was not administered again on 09/05/2022 and 09/06/2022. R1's progress notes revealed resident was placed on alert for missing this medication on 09/04/2022. During separate interviews R1 and Staff #7 reported that the facility had been out of this medication since 09/03/2022.