Ridgecrest I.

“Based on record review, observation, and interview, the manager failed to ensure a written order verifying the verbal order was obtained from the medical practitioner within 14 calendar days after receipt of the verbal order, for one of two residents sampled. Findings include: 1. A review of R1's medical record revealed a current written service plan dated June 1, 2024, for directed care services. The service plan indicated R1 received medication administration. 2. A review of R1's medical record revealed a verbal medication order from a registered nurse dated June 3, 2024. The order stated "Lorazepam 0.05 mg oral take 1/2 tab in AM and 1 tab at bedtime." R1's medical record contained evidence of documentation the medication was being administered as ordered, however, there was no documentation to indicate a written order was obtained from the medical practitioner within 14 days of the verbal order. 3. In an interview, E1 reported the Lorazepam administered to R1 was administered per the verbal order. E1 acknowledged a written order verifying the verbal order was not obtained from R1's medical practitioner within 14 calendar days after receipt of the verbal order.”