Legrand Healthcare And Rehabilitation Center

revealed S3ADON wrote Resident #1 admission orders.

Surveyor asked S2DON about the discrepancy between Pioglitazone 45 mg po daily that was on Resident #1's discharge orders dated 07/31/2025 and the admission orders dated 08/01/2025 which had Pioglitazone 30 mg po daily. S2DON reported she was not aware of the discrepancy. On 09/30/2025 at 3:25 p.m., a telephone interview with S4LPN revealed she admitted Resident #1 to the facility on [DATE] at 1:30 p.m. S4LPN revealed Resident #1 arrived via private auto with his step son and daughter-in law. S4LPN reported they brought his home medications with him.

S4LPN reported they normally do not use the resident's home medication unless it is a medication that they are not able to obtain from the pharmacy. S4LPN revealed she was given a bag containing Resident #1's home medications and she stored them in the medication room. S4LPN revealed she did not recall Resident #1 telling her that he needed to continue taking his home medication, Riluzole. S4LPN reported Resident #1's daughter-in law told her not to reorder Riluzole from the pharmacy. On 09/30/2025 at 4:24 p.m. an interview with Resident #1's daughter-in law revealed she was present when Resident #1 told the nurse he needed to continue taking the Riluzole 50 mg tablet twice day for 1 month after his surgery. Resident #1's daughter-in law revealed Resident #1 brought all of his home medication with him in a bag and Resident #1 handed the bottle of Riluzole to the nurse and told her he need to continue it twice a day for 1 month. Resident #1's daughter-in law reported she instructed the nurse to use his home medication of Riluzole and not to reorder the medication because there was a month supply in the bottle. On 10/01/2025 at 1:55 p.m. an interview with S4LPN revealed she admitted Resident #1 on 08/01/2025 at 1:30 p.m., but she did not write his admission orders. S4LPN revealed S3ADON wrote Resident #1's admission on [DATE]. S4LPN revealed she received the admission orders shortly after he was admitted .

Surveyor reviewed Resident #1's discharge orders date 07/31/2025 with S4LPN. S4LPN reported this was the first time she had seen the discharge orders.On 10/01/2025 at 2:20 p.m. an interview with S3ADON confirmed she wrote Resident #1's admission orders on 08/01/2025 from the information that was faxed over to the facility on [DATE] which had Pioglitazone 30 mg po daily. S3ADON reported she was not aware of the of hand written orders dated 07/31/2025 that came with Resident #1 when he arrived to the facility that had Pioglitazone 45mg mg daily.On 10/01/2025 at 3:55 p.m. an interview with S2DON revealed S3ADON wrote Resident #1's admission orders on 08/01/2025 based on the information that was faxed over to the facility on [DATE] which had Pioglitazone 30 mg daily. S2DON revealed S3DON should have reviewed the discharge orders dated 07/31/2025 that came with Resident #1 when he arrived to the facility on [DATE] which had Pioglitazone 45mg daily. S2DON confirmed S3ADON should have contacted Resident #1's Physician and clarified the correct dosage for Pioglitazone.S2DON further confirmed S4LPN should have contacted Resident #1's Physician to clarify if Resident #1's home medication, Riluzole 50 mg po BID, should be continued after Resident #1 informed her it needed to continue for 1 month.

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