Cedar Care at Lagos Vistoso.

“Based on record review, observation, and interview, the manager failed to ensure that medication administered to a resident was accurately documented in the resident's medical record, for one of two residents sampled. The deficient practice posed a risk as medication could not be verified as administered against a medication order. Findings include: 1. A review of R2's medical record revealed a signed medication list, dated November 15, 2025, which included the following medications: Glipizide 10 milligrams (mg), 1 tablet by mouth (po) twice a day (bid); and Metformin 1000 mg, 1 tablet po bid. 2. A review of R2's medication administration record (MAR) for January 2026 revealed R2 was administered Glipizide 10 mg, 1 tablet po at 8:00 AM, January 1, 2026 - present. 3. A review of R2's MAR for January 2026 revealed R2 was administered Metformin 1000 mg, 1 tablet po at 8:00 AM, January 1, 2026 - present. 4. The Compliance Officers observed Glipizide 10 mg, 1 tablet prefilled in R2's medication organizer in the 8:00 AM and 8:00 PM slots. However, the MAR documentation did not indicate administration at 8:00 PM, as ordered. 5. The Compliance Officers observed Metformin 1000 mg, 1 tablet prefilled in R2's medication organizer in the 8:00 AM and 8:00 PM slots. However, the MAR documentation did not indicate administration at 8:00 PM, as ordered. 6. In an interview, E1 reported that the MAR documentation was an error in transcription rather than administration. 7. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”