- Date
- 4/25/2024
- Report number
- OR0005010201
- 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 interview and record review, conducted during a site visit on 06/12/24, it was confirmed the facility failed to ensure the staff person who administers the medication must visually observe the resident take the medication for 1 of 3 sampled residents (#1). Findings include, but are not limited to: During an interview on 06/12/24, Staff 1 (ED) indicated there had been issues with staff not observing residents take his/her medications. Staff 1 stated s/he had planned to request an order from Resident 1's physician to allow medications to be left at bedside, as this was Resident 1's preference. S/he acknowledged there was no current order. During an interview on 06/12/24, Resident 1 stated, "There have been times staff has left my medication on the counter since it takes me awhile to take my medication in the morning." A review of the service plan for Resident 1 dated 05/17/24, indicated the resident required assistance with medication two times a day. It was confirmed the facility failed to ensure the staff person who administers the medication must visually observe the resident take the medication.