State Findings:
Obervation of Medication Pass with Licensed Practical Nurse (LPN) AA on 4/27/2021 at 9:07 a.m. for Resident (R) #47 revealed that [MEDICATION(S)] 5 milligrams (mg) was not available. LPN AA checked the emergency medication box and revealed there was no [MEDICATION(S)] available and cannot explain why the medication is not available. She further revealed that she does not normally work on B Hall but added that when the medication card gets to a certain point, it reminds the nurse that it is time to reorder.
Obervation of Medication Pass with Licensed Practical Nurse (LPN) AA on 4/27/2021 at 9:30 a.m. for R#6. revealed Aspercreme was not available. During this time LPN AA revealed that she does not know why the medication was not available because she does not normally work B Hall.
Obervation of Medication Pass with LPN CC on 4/27/2021 at 10:53 a.m. for R#72 revealed that
[MEDICATION(S)] 100 mg was not available. During this time an interview with LPN CC revealed she does not know why the medication was not available.
A telephone interview on 4/28/2021 at 9:30 a.m. with the Consultant Pharmacist revealed the facility has several ways they can send in refill request and added that refills are on demand. She stated they have capability through their Electronic Medical Record (EMR) to send over an electronic request for refills, they may pull the sticker off the card and fax it over, or they may call the Pharmacy to request refills. The Pharmacist further revealed that R #47 has been on [MEDICATION(S)] 5 mg, one by mouth daily, since 2019 but the most recent Physician Order was received on 3/2/2021 and added that the pharmacy received a refill request and filled 30 tablets on 4/27/2021, 3/30/2021, and 3/2/2021. She revealed the facility should have had enough of the [MEDICATION(S)] left so that R #47 did not miss a dose and added that the medication was ordered by the facility and sent by the Pharmacy timely so that the facility should have had the medication on hand.
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If you have or had a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.
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Personal Note from NHA-Advocates
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