Description: A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Required: Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: February 27, 2026

Observations: Licensing audited the Medication Administration Records (MARs) for three persons in care. All persons in care had at least one signature or coding missing on the MAR as required by the Medication Safety and Advisory Committee.