| 6400.162(a) | Individual #1 is prescribed Calcium with Vitamin D3 powder ½ tsp daily. Physician's order on the OTC form states ½ tsp daily. Bottle states ½ tsp daily. Powder is administered by staff by sprinkling on food, but no documentation was present from the physician stating how the powder is to be administered.
Individual #1 is prescribed Lactobacillus Duo. There was no pharmaceutical label on the bottle. MAR states take one capsule daily, sprinkle entire contents on small amount of food. OTC form documents the physicians order as 1 capsule once daily, directions on the original OTC bottle label state 1-2 capsules daily, or as directed. | The original container for prescription medications shall be labeled with a pharmaceutical label that includes the individual's name, the name of the medication, the date the prescription was issued, the prescribed dose and the name of the prescribing physician. | The referenced medications of this cite are purchased by the individual¿s mother on-line and do not come with a label. The pharmacy will not provide a label, even with a doctor¿s script. After a conversation with Dr. Neiderer, the individual¿s doctor, he wrote two scripts for the medications on May 14, 2019 that reflects the directions on the medications. The directions on the bottle, the script, the Medication List, and the MAR are now identical to each other. Additionally, the medications are being maintained in a plastic bag, with a copy of the doctor¿s script, to remove any potential doubt regarding administration of the two medications. It is the responsibility of the Program Supervisor to ensure that all medications are properly labeled and/or have a doctor¿s letter to accompany the medication should a script not be available. The Program Specialist is to perform oversight and review medications at least once monthly. Attachment 4B |
05/14/2019
| Implemented |
| 6400.163(c) | Individual #1 attended a psychiatric medication review on 5/18/18 and not again until 10/17/18. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | On May 8th, 9th and 10th, 2019 the staff at the Hamilton Group Home were retrained on the proper procedure/timing for 3-month medication review appointments for when a medication is prescribed for a diagnosed psychiatric illness. The applicable forms were reviewed to ensure staff knew what documentation is necessary. The `Appointments¿ log was reviewed. The Log is where appointment schedule dates are noted; the attending staff initial when the appointment is successfully completed and the next appointment, if known at that time, is noted. It is the responsibility of the Program Supervisor to ensure the appointments are up to date and the responsibility of the Program Specialist to review the Log for thoroughness and completeness. Attachment #4A |
05/08/2019
| Implemented |