Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation and documentation reviewed, the facility did not ensure the start dates for each medication were documented and a medication count could not be conducted to ensure medications are being given as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.
Official plan of correction
Licensee agrees document when each medication bottle is started for each resident and to complete a statement of understanding by the POC due date of 1/26/24.
Deadline recorded: Jan 26, 2024. A deadline is not proof that correction was completed.
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation, the facility did not ensure the keys were not hanging from the medication cart, which poses a potential health, safety, and personal rights risk to residents in care.
Official plan of correction
Licensee agrees to keep medication keys in a different location of the facility and will complete a statement of understanding by the POC due date 2/8/24.
Deadline recorded: Feb 8, 2024. A deadline is not proof that correction was completed.
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year... This requirement is not met as evidenced by: Based on observation and documentation reviewed, the facility did not ensure each resident had a completed Centrally Stored Medications Form, which poses a potential health, safety, and personal rights risk to residents in care.
Official plan of correction
Licensee agrees to either complete Centrally Stored Medications Forms for each resident or update their electronic system to indicate all required information for each medication provided. Licensee agrees to submit a statement of understanding by the POC due date of 2/8/24.
Deadline recorded: Feb 8, 2024. A deadline is not proof that correction was completed.