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: September 16, 2024

Observations: Licensing audited the Medication Administration Records (MAR) for persons in care. One person in care did not have the result of prn medications documented consistently, there were several missing codes from medications administered while away from the facility, and there was incomplete prn documentation on the back of MAR for a person in care.