During the review of documentation for a custodial death which occurred September 30, 2021, only the August 2021 Medication Administration Record was provided, even though the inmate had been prescribed medications since July 14, 2021. During the review of documentation of a custodial death which occurred November 26, 2022, medication was started for the inmate, but there is no documentation of who prescribed it.
During the review of documentation for a custodial death which occurred September 30, 2021, it was determined the Continuity of Care Query (CCQ) was run almost 9 hours after intake.
During the review of documentation for a custodial death which occurred on May 10, 2023, it was determined the Continuity of Care Query (CCQ) was run almost 48 hours after intake.