Adviniacare Waterview Villas, Llc

During a surveyor interview on 2/27/2026 at 11:31 AM, with the resident, s/he stated that s/he went about three days without receiving his/her pramipexole as ordered for RLS because it was not available. S/he further indicated that s/he requested to be transferred to the ED because his/her legs were uncomfortable, with pain that radiated to his/her back.

Additionally, s/he stated that s/he paced around the unit because sitting still was uncomfortable.

During a surveyor interview with the Director of Nursing Services on 2/27/2026 at 2:55 PM, she acknowledged that the medication was not administered as ordered because it was unavailable from the pharmacy on 2/8, 2/9, 2/10, 2/11, and 2/12/2026.During a surveyor interview on 2/27/2026 at 3:25 PM with the Pharmacy Account Manager, he stated that the request for a refill of the pramipexole was not submitted by the facility until 2/12/2026.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE