- Date
- 8/24/2022
- Report number
- OR0003741203
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Based on record review and interview it was confirmed that the administrator failed to be responsible for ensuring adequate professional oversight of the medication and treatment administration system. Findings include but not limited to: A review of Resident #1 (R1), Resident #2 (R2) and Resident #3 (R3)'s MARs and progress notes for July - September 2022 revealed that all three of these residents have missed doses of medications due to facility running out of medications and not being delivered by pharmacy. During interview Staff #7 (S7) stated: Not all Med Aids order new medications when they are supposed to. Residents run out of medications sometimes. R1 had been out of a medication for 4 days.