PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 31860 - RCR s.69(3)(a) - A licensee must ensure that (a) all medications in the community care facility are safely and securely stored.
Observation: Inspection of the medication carts found that on two days one medication cart was left unlocked and staff had not signed off the EMAR system.
Corrective Action(s): Ensure that all medications in the facility are safely and securely stored.
Date to be Corrected: April 30, 2018
CARE AND/OR SUPERVISION: 34890 - RCR s.83(4)(b) - Subject to subsection (5), a licensee, other than a licensee who provides a type of care described as Hospice, must (b) immediately seek the advice of a health care provider if the person in care has experienced, unintentionally, a significant change in weight,
Observation: Review of 4 of 5 care plans for persons in care (PIC) found that four PIC's had a significant weight decrease. The weight was flagged by the care system but there was no documentation to confirm that the PIC's had seen a health care provider for the weight loss.
Corrective Action(s): Ensure that if a PIC experiences an unintentional or a significant change in weight that there is documentation to reflect that immediate advice from a health care provider was sought.
Date to be Corrected: April 30, 2018
MEDICATION: 36070 - RCR s.69(1)(a) - A licensee must ensure that a pharmacist (a) packages all medications.
Observation: Inspection of the medication cart found 5 administered natural medications/supplements, prescribed and approved by the medical practitioner, do not have a pharmacy label.
Corrective Action(s): Ensure that a pharmacist packages all medications.
Date to be Corrected: April 30, 2017
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