Legend Oaks Healthcare And Rehabilitation-kyle

During an interview on 01/29/2026 at 1:07 PM, LVN A stated

practitioner. LVN A stated when there was a new medication order that the resident and their family

stated that it was important to notify the resident of medication changes because they were taking the medication and to be aware if they wanted to take the medication or not and to have an opportunity to ask questions or not. LVN A stated typically both the resident and family are notified depending on their BIMS score and if they can understand. LVN A stated Resident #1 was able to consent to his own treatment. LVN A stated Resident #1 was oriented to person, time, place and situation. LVN A stated that she does not recall if Resident #1 was notified of his new order for Tamiflu. LVN A stated she knew she told some residents, but could not recall who. LVN A stated someone helped with notification to families, but could not recall who. LVN A stated that resident rights included the right to take medication or not and the right to be notified of any changes in their treatment.

During an interview on 01/29/2026 at 1:26 PM, RN B stated that the facility did prophylactic treatment to treat the flu. RN B stated that when there was a new order for medication she talked to the resident and also communicated with the provider and contact the family member listed on the resident's profile. RN B stated usually she would put in a progress note and specify that the family was contacted, ADON/DON, provider and that it was discussed with family. RN B stated that it was important to discuss changes in medication for the resident's autonomy, so they were aware of their care and to keep them involved of their care. RN B stated cognition level does not affect whether or not they are involved, and the resident should be notified regardless.

During a telephone interview on 01/29/2026 at 2:02 PM, the ADON stated she was at training.

The ADON stated that residents were started on Tamiflu prophylactically.

The ADON stated she helped with notifying the families of the change.

The ADON stated that the nurse or nurse practitioner was responsible to speak with the resident and tell the resident they were going to start Tamiflu.

The ADON stated that sometimes Resident #1 was forgetful, but he recognized faces and sometimes had to be reminded of things that were done.

The ADON stated it was important to notify residents of new medications so they were aware of what they were taking and what to expect.

During an interview on 01/29/2026 at 2:08 PM, DON A stated that DON B was at a training and she was helping at the facility. DON A stated that the protocol for new medications would be for the nurse to notify the family member and if the resident was alert and oriented then the resident would be notified as well.

DON A stated that it should be documented in a progress note and that included if the resident was notified as well. DON A stated notification to the resident depended on if they were aware of the medications they took, they can recall their daily routine, voice their needs and their BIMS score. DON A stated it was important to notify of any changes in medication so that the resident was aware of their plan of care.

During an interview on 01/29/2026 at 2:42 PM, the ADM stated that he would defer notification of medications changes to the DON and it was not within his scope to answer.

The ADM stated that documentation of notifications were also deferred to the DON.

The ADM stated that it was important for the resident to be made aware of medications because it was apart of their place of care.

The DON stated if the resident was alert and oriented, they would be notified as well and their RP.

During an exit conference interview on 01/29/2026 at 3:45 PM, DON B stated that Resident #1 was notified by the nurse practitioner that Tamiflu was being started.

The DON stated that the nurse practitioner did not notify all residents, only some.

The DON stated that Resident #1 had a BIMs of 12 and that his RP/FM was notified to start the medication.

The DON stated that residents did not have to have a MPOA in place to notify the FM.

Review of the facility policy titled ?Resident Rights and Responsibilities, Notice of with revision date of 04/2025 reflected should a resident be found incompetent by a court of law, the resident's representative shall act on behalf of the resident.

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Legend Oaks Healthcare and Rehabilitation-Kyle 1640 Fairway Kyle, TX 78640