diff --git a/src/lib/export/full-backup-payload.ts b/src/lib/export/full-backup-payload.ts
index 89f63c045..55c0d83b4 100644
--- a/src/lib/export/full-backup-payload.ts
+++ b/src/lib/export/full-backup-payload.ts
@@ -998,13 +998,17 @@ export async function buildFullBackupPayload(
             reorderLeadDays: m.reorderLeadDays,
             externalSource: m.externalSource,
             externalId: m.externalId,
-            createdAt: m.createdAt.toISOString(),
             updatedAt: m.updatedAt.toISOString(),
           }
         : {}),
       name: m.name,
       dose: m.dose,
       active: m.active,
+      // Both purposes carry the creation instant: it is the floor of the
+      // medication's expected slots, so a restore stamped with the restore
+      // time would read the whole restored history as predating the
+      // medication and drop its misses from every rate (#1028).
+      createdAt: m.createdAt.toISOString(),
       schedules: m.schedules.map((s) => ({
         ...(disasterRecovery
           ? {
diff --git a/tests/integration/backup-round-trip.test.ts b/tests/integration/backup-round-trip.test.ts
index 8376beb3e..516d48541 100644
--- a/tests/integration/backup-round-trip.test.ts
+++ b/tests/integration/backup-round-trip.test.ts
@@ -2890,4 +2890,63 @@ describe("every model the plan claims two-ended survives a real restore", () =>
       UNREADABLE_EXPORT_MARKER,
     );
   });
+
+  /**
+   * #1028 — a medication's creation instant is the floor of its expected
+   * slots: every adherence surface counts a slot before it only when a
+   * recorded dose claims it. A restore that stamped the restore time as the
+   * creation turned the whole restored history into "before the medication
+   * existed", so its misses dropped out of the rate. Both file purposes must
+   * bring the creation instant back.
+   */
+  for (const purpose of ["portable-export", "disaster-recovery"] as const) {
+    it(`restores a medication's creation instant from a ${purpose} file`, async () => {
+      const prisma = getPrismaClient();
+      await seedAdminSession(prisma);
+      await createOwner(prisma);
+      const createdAt = AT("2025-11-03T16:05:00.000Z");
+      await prisma.medication.create({
+        data: {
+          userId: OWNER_ID,
+          name: "Metformin",
+          dose: "500mg",
+          createdAt,
+          schedules: {
+            create: {
+              windowStart: "08:00",
+              windowEnd: "08:00",
+              timesOfDay: ["08:00"],
+            },
+          },
+        },
+      });
+
+      const { payload } = await buildFullBackupPayload(prisma, OWNER_ID, {
+        purpose,
+      });
+      await prisma.user.delete({ where: { id: OWNER_ID } });
+      await createOwner(prisma);
+      const backup = await prisma.dataBackup.create({
+        data: {
+          userId: OWNER_ID,
+          type: "TWO_ENDED_ROUND_TRIP",
+          data: encrypt(JSON.stringify(payload)),
+        },
+      });
+      const response = await POST(
+        new Request(`http://localhost/api/admin/backups/${backup.id}/restore`, {
+          method: "POST",
+          headers: { "content-type": "application/json" },
+          body: JSON.stringify({ confirm: "RESTORE" }),
+        }) as never,
+        { params: Promise.resolve({ id: backup.id }) },
+      );
+      expect(response.status, JSON.stringify(await response.json())).toBe(200);
+
+      const restored = await prisma.medication.findFirstOrThrow({
+        where: { userId: OWNER_ID, name: "Metformin" },
+      });
+      expect(restored.createdAt.toISOString()).toBe(createdAt.toISOString());
+    });
+  }
 });