VILLA SIENA

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can 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: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the facilty staff did not ensure that 1 of 5 residents (R1) was given the right dosage of ‘Melatonin 5 MG tablet’ and ‘Citrucel 500 MG Caplet’ medication. Two (2) less days of these medications were administered to R1, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/30/2025 Plan of Correction The DON stated they are going to conduct a route cause analysis and all med tech staff are going to be retrained via in-service training on medication administration and documentation. DON will submit the evidence of training log to CCLD by POC due date of 07/30/2025.