F0755

D

Late Administration of Scheduled Medications Outside Required Time Window

Corona, California Survey Completed on 03-12-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to administer medications within the facility’s required 60‑minute window around the scheduled time for one resident. During a medication pass observation on March 11, 2026, at 11:18 a.m., LVN 1 prepared multiple 10:00 a.m. medications for Resident 3, including ascorbic acid 500 mg, benztropine mesylate 0.5 mg, cranberry 250 mg, esomeprazole 40 mg, lactobacillus, a multivitamin and mineral 15 ml, and quetiapine 100 mg. These medications, ordered for administration at 10:00 a.m. per the resident’s Order Summary Report and March 2026 MAR, were not actually administered via gastric tube until 12:08 p.m., more than two hours after the scheduled time and outside the facility’s one‑hour before/after administration window.

Resident 3’s face sheet showed an admission with diagnoses including respiratory failure, and the medications observed were part of her routine 10:00 a.m. regimen. During interview, LVN 1 stated that nurses are expected to administer medications within one hour before and one hour after the scheduled time and acknowledged being behind on the 10:00 a.m. med pass due to attending to other residents who required a dressing change and PRN medication. LVN 1 reported that if falling behind, he would ask other licensed nurses for help but that they were all busy. In a separate interview, the DON confirmed that licensed nurses are expected to administer medications within one hour before and one hour after the scheduled time, consistent with the facility’s written Medication Administration – General Guidance policy dated July 2025.