| 6400.167(a)(1) | The September 2023 Mar indicates that the following medications were not given to individual #1 on 9/22/23 at 8pm as prescribed: Donepezil 5mg tablet, Sertraline 100mg, and Trazodone 100mg. | Medication errors include the following: Failure to administer a medication. | The medication adminstrator has sole responsibility to ensure that all steps of the med admin cycle is completed in it's entirety. The staff responsible reviewed the med admin cycle procedures and completed HCQU Medication Error training. The September 2023 Mar indicates that the following medications were not given to individual #1 on 9/22/2023 at 8pm as prescribed: Donepezil 5mg, Sertraline 100mg, and Trazodone 100mg. The Program Director reviewed all other MAR records and found no other non compliance items related to medication omissions. As of 1/30/2024 all correction tasks were completed for this non-compliance. See attachment #1 (HCQU Medication Error Certificate) A plan to prevent future occurrences is reinforcing the use of a checklist for medication administrators to verify the MAR is accurate and complete. See attachment #2 (Checklist). All staff responsible in implementing the plan of correction have been trained. |
01/30/2024
| Implemented |