| 6400.165(g) | A licensed physician shall review medications prescribed to treat symptoms of a psychiatric illness at least every 3 months. The documentation for the medication reviews that occurred on 4/07/2025 and 11/04/2024 did not record the reason for prescribing the medications, the need to continue the medications and the necessary dosage. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | Residential Managers will review the PVR to ensure the prescribing provider has completed the form and recorded the reasons for prescribing the medication, need to continue and the dosages at the time of the appointment. |
08/09/2025
| Implemented |
| 6400.167(a)(3) | Individual #1 is prescribed Fiberlax, 625 mg. tablets, to be administered 4 tablets (2500 mg. total dosage) twice daily at 8 AM and 8 PM for constipation. The medication is packaged in blister packs with 2 tablets packaged together in each blister cell; staff pop out two blister cells at each medication administration to give the prescribed dose of 4 tablets. At the time of the inspection, the licensing representative discovered that on 8/04/2025 at 8 AM, Staff #1 administered the contents of only one blister cell, or two tablets, which was half of the prescribed dosage of the medication. | Medication errors include the following: Administration of the wrong dose of medication. | Agency nurse retrained the staff and an EIM was entered for the med error. |
08/09/2025
| Implemented |