Complaint Investigation Report

The facility does not retain a copy of current physician's order for each resident. R2's Medication Destruction Log was not current. An old medication card was found with inaccurate distribution dates.

The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED .

Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 9099-D.

An exit interview was conducted and Plan of Correction was developed. A copy of this report and Appeal Rights were discussed and left with Ester Jackson, whose signature on this form confirms receipt of these documents.