VIA ELEGANTE, TUCSON MOUNTAINS

Based on record review and interview, the manager failed to ensure medication administered to a resident is administered in compliance with a medication order for one of nine residents sampled. The deficient practice posed a risk of an adverse health condition for one resident due to medication not being administered. Findings include: 1. A review of R1's medical record revealed a service plan which indicated R1 received personal care, and administration of medication. The medical record contained a doctor's order, dated August 6, 2024, directing R1 take "Finasteride 5 MG Tablet, Take 1 Tablet by mouth at bedtime." 2. A review of R1's Medication Administration Record (MAR) for September 2024 revealed evidence of documentation to indicate R1 was administered "Finasteride 5 MG Tablet, Take 1 Tablet by mouth at bedtime" as ordered was unavailable for review. 3. In an interview, E4 advised the pharmacy had not received a valid order for "Finasteride 5 MG," from R1's medical provider until October 10, 2024. 4. In an interview, E1 agreed R1 had not been administered Finasteride as ordered.