Complaint Investigation Report

Allegation: Staff mismanaged resident’s medication

During investigation, the department conducted interviews of facility staff & responsible parties and reviewed resident (R1) documents. Review of R1’s incident report dated 04/25/22 showed missed administration of R1’s prescribed medications from 03/17/22 until 04/28/22 by facility staff. Based on the department’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff mismanaged resident’s medication was found to be substantiated.

Allegation: Staff did not order refills in a timely manner

During investigation, the department conducted interviews of facility staff & responsible parties and reviewed resident (R1) documents. Review of R1’s medical records showed that staff did not order timely refills of R1’s medications due to mismanagement of prescribed medications from 03/17/22 until 04/28/22. Based on the department’s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) that staff did not order refills in a timely manner was found to be substantiated.

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted, appeal rights and copy of report provided.