Encore At West Meadow: Pharmacy Service Gaps - DE
The resident, identified in inspection records as R1, normally lives in the facility's independent living section. When she was hospitalized and transferred to the skilled nursing unit for rehabilitation, the pharmacy never updated her profile. Her records still showed her as an independent living resident. The pharmacy had no allergy information on file for her in that context, and no prescription was attached to her skilled nursing admission.
By August 6, the facility had tracked down the problem. The pharmacy explained that it deliberately delays updating patient profiles until a resident physically arrives, to avoid insurance reimbursement complications if the admission falls through. That policy left R1 without her medication and without a valid prescription on file.
The next day, August 7, a physician identified as C1 wrote a new prescription. He wrote it for 1 mg of lorazepam, twice daily. The only lorazepam available in the facility's emergency medication box was the 0.5 mg formulation. The pharmacy could not release it. The prescription had to match the available formulation exactly, meaning C1 needed to write for four 0.5 mg tablets to equal the intended 2 mg daily dose. He had not done that.
A registered nurse, identified as E10, told inspectors she asked C1 to rewrite the prescription to match what was actually in the emergency box. He declined, telling her he had already written one for 1 mg and that was sufficient.
The lorazepam sat in the emergency box, available but unreachable, while R1 went without.
Inspectors reviewed their findings at an exit conference on October 29 with the nursing home administrator, the director of nursing, and three other senior staff members. The deficiency was cited at a level of minimal harm or potential for actual harm.
The physician who wrote the prescription and then refused to correct it was not present at that meeting.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Encore At West Meadow from 2025-10-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
ENCORE AT PARKSIDE in NEWARK, DE was cited for violations during a health inspection on October 29, 2025.
The resident, identified in inspection records as R1, normally lives in the facility's independent living section.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.