Encore Village

08/20/2025 at 1:09 PM, V2 (Director of Nursing) said that R1 was at the facility for respite care and came with her own meds which were stored in the med cart along with R3's bag of medications that were not in use and should have been returned to R3's family prior to this incident. V2 then said during the discharge process, the nurse should discuss with the resident and family their discharge plan and medication orders and should go through each individual medication with the resident/family to review any administration directions and provide education for each med. On 08/20/2025 at 1:15 PM, V2 said that V4 should have reconciled R1's medications on her own after V7's refusal and prior to giving V7 the bag of meds. V2 then said night shift nurses typically clean out the med carts and believed that two of [R3's] pill bottles had fallen out of his bag during cleaning and the unknown nurse mistakenly placed those pill bottles into R1's bag. V2 added that the unknown nurse who cleaned the med cart should have checked for the resident's name on the pill bottles before placing them into the appropriate bag.

Nursing discharge summary policy dated 02/2024 reads in part: a discharge summary will be prepared for each resident discharged from the facility.At a minimum, the discharge summary will a summary of the resident's status to include a description but not limited to, the resident's drug therapy (all prescription and over-the-counter medications taken by the resident, including dosage, frequency of administration, and recognition of significant side effects that would be most likely to occur in the resident.

Facility ID: