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25 | Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management Visit. LPA was greeted by and met with Executive Director Randal Newton, to discuss the purpose of the visit.
Today's visit is in response to the self reported medication error for Resident 1 (R1) (see LIC811 Confidential List of Names) received on January 30, 2025. It was reported that R1 was given Parkinson's disease medication instead of antibiotic. R1's Physician was notified as well as R1's responsible party. Physician instructed care team to monitor for side effects, but did not believe any side effects would occur.
Records review of R1's Physician's Report revealed that R1 has a primary diagnosis of senile degeneration of the brain and is not able to administer their own medications.
LPA interviewed staff and collected records. A wellness check was completed; no health or safety issues were identified. No deficiencies were cited or observed on this date.
An exit interview was conducted with Randal Newton, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents. |