Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the Administrator did not comply with the section cited above in that staff failed to sign/initial the Medication Administration Record (MAR) on the correct dates, 09/15/2025 (PM) and 09/16/2025 (AM) for the medications administered for (2) residents which poses/posed a potential health, safety or personal rights risk to residents in care.
Official plan of correction
POC Due Date: 09/29/2025 Plan of Correction Administrator shall provide in-service training to all staff on how to properly document the Medication Administration Record (MAR), as well as develop a policy requiring that (2) people verify medication records. Administrator to send a copy of the training log, along with the topics covered, and a sign-in sheet of staff who participated to CCL/LPA by POC due date.