Inspection Details

Inspection #
INSP-0081743
Inspection Date(s)
7/17/2023
Status
Complete
Inspection Type
Compliance (Annual)
Worksheet Type
Assisted Living Home
Certificate Number
AL10261H
Location Type
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Initial Comments

The following deficiency was found during the on-site compliance inspection conducted on July 17, 2023:

Statement of Deficiency

1 deficiency found
Deficiency #1
✓ Plan Provided
Rule
B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and
Evidence
Based on record review and interview, the manager failed to ensure a medication was administered in compliance with a medication order, for one of two residents reviewed. The deficient practice posed a risk if the resident experienced a change in condition due to improper administration of medication. Findings include: 1. A review of R2's medical record revealed a current written service plan dated in May 2023. This service plan indicated R2 received medication administration. 2. A review of R2's medical record revealed a signed medication order dated June 28, 2023. This medication order stated "Amlodipine 5 m take one tablet once a day. Take blood pressure daily every afternoon." 3. A review of R2's medical record revealed a July 2023 medication administration record. However, there was no documentation to demonstrate R2's blood pressure was taken daily every afternoon. 4. In an interview, E4 acknowledged the blood pressure reading was not taken in the afternoon per the medication order instructions.
Plan of Correction
Permanent Correction Date
2023-07-17