LLC RETIREMENT HOMES II

Official classification

Type B

Official code

87465(d)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration provided all of the following requirements are met: (1) Facility staff shall contact the resident's physician prior to each dose, describe the resident's symptoms, and receive direction to assist the resident in self-administration of that dose of medication. (2) The date and time of each contact with the physician, and the physician's directions, shall be documented and maintained in the resident's facility record. (3) The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. The following requirement has not been met as evidenced by: Resident 1's PRN tracking log was not accurate and did not include all times PRN given, and results, which poses a potential, health, safety, or personal rights risk to residents in care.

Official plan of correction

Licensee agrees to complete the following: Review and audit all resident PRN medication records to ensure documentation includes:date and time administered,medication administered, reason for administration,staff initials/signature,resident response/results following administration, and follow-up documentation when required, and submit proof to LPA by POC date of 05/23/2026.

Deadline recorded: May 23, 2026. A deadline is not proof that correction was completed.