Complaint Investigation Report

Staff did not administer resident's medication – SUBSTANTIATED

It was reported that a resident was hospitalized due to the facility not giving him his medication (Levothyroxine).

LPA document review: MAR dated November and December 2023 do not include the medication Levothyroxine.

Physician’s Reported dated 11/07/2023 includes the following information: SECONDARY DIAGNOSIS(ES): a. Treatment/medication (type and dosage)/equipment Hypothyroid, levothyroxine 17Smcg one PO dally.

COO stated That med was missed. On the original orders it does have levothyroxine, I don’t see it on the MARS.

It was determined that based on interviews and document review due to R1 not receiving his levothyroxine medication, his hyperthyroidism was untreated, and R1 was hospitalized and treated for severe hypothyroidism. This allegation is substantiated.

This is a repeat violation, the same violation was cited on 03/19/2024 and 04/23/2024. Civil penalties are being assessed in the amount of $1,000.00 this date on the attached LIC421M for repeat violation within a 12 month period.

Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC9099D. Appeal rights were provided. Exit interview conducted and a copy of the report was provided to COO Diania Bingham.