Gloria's Assisted Living LLC.

“Based on record review, observation, and interview, the manager failed to ensure a medication administered to a resident was accurately documented in the resident's medical record, for two of three resident records reviewed. Findings include: 1. A review of R2's medical record revealed R2 received medication administration. 2. A review of R2's medical record revealed a signed medication order for "Levothyroxine 75mcg i/i PO BEFORE BREAKFAST", dated December 26, 2023. 3. A review of R2's medication administration record (MAR), at or about 2:15 pm on January 8, 2024, revealed the Levothyroxine was not initialed as being administered to R2 before breakfast on January 8, 2024. A statement at the bottom of the MAR stated, "Initial appropriate box when medication is given." 4. A review of R3's medical record revealed R3 received medication administration. 5. A review of R3's medical record revealed a signed medication order for the following morning medications: - "Celebrex 100mg ... PO QD"; - "Escitalopram Oxalate 10mg ... PO QD"; - "Apixaban 2.5mg ... PO BID"; - "Buspirone 5mg PO BID"; - "levothyroxine 75mcg tab ... PO QAM"; and - "Amlodipine besylate 5mg ... PO QD ... Hold for SBP”

“Based on documentation review and interview, the manager failed to ensure a disaster drill for employees was conducted on each shift at least once every three months and documented. Findings include: 1. A review of the facility's work schedule revealed the facility had two shifts. 2. A review of facility documentation revealed a disaster drill conducted on "Shift #1" on January 13, 2023, April 13, 2023, and October 13, 2023. 3. A review of facility documentation revealed a disaster drill conducted on "Shift #2" on July 13, 2023. 4. In an interview, E1 and E2 acknowledged disaster drills were not conducted and documented on each shift at least once every three months.”