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F0554
D

Failure to Assess and Document Self-Administration of Medications

Santa Barbara, California Survey Completed on 05-09-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A resident was found with multiple self-administered medications, including Primal Harvest Hair Growth Complex, Immuneti Advanced Immune Defense, and Primal Multivitamins, at their bedside. The resident reported self-administering these supplements since admission. The resident's medical record indicated a history of suicidal ideations, alcohol abuse, and opioid use. No self-administration assessment was completed for the resident, and there was no documentation of the resident's desire to self-administer medications. Additionally, there were no interdisciplinary team notes or care plan entries regarding self-administration, despite facility policy requiring assessment, documentation, and care planning for residents who wish to self-administer medications. Nursing staff and facility leadership confirmed the absence of required documentation and assessments.

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