Complaint Investigation Report, 04/28/2023 — Crofton Manor Inn, Long Beach CA

On 04/21/2023 LPA Calderon reviewed the SNF paperwork and noted that R1 will be discharged from their facility as of 05/06/2023 due to issues with broken left hip. On 04/21/2023 LPA Calderon interviewed A1 for complaint. A1 states that R1 was taking too many medications and needed to be in a SNF and hospital for detox. A1 states that A1 did not refuse to allow R1 back into the facility, just that A1 needed the SNF to release R1 and then S2 would reassess the resident to see if R1 could return to the facility.

Allegation 2: Staff did not re-order residents’ medication timely.

It is alleged that staff did not re-order residents’ medication timely.

On 04/17/2023 LPA Calderon interviewed W1 for complaint. W1 states that facility ran out of R1 medications due to not ordering when they needed to. W1 states that R1 came into the facility with 1 month of medications and staff had enough time to reorder the medications for R1 needs. On 04/28/2023 LPA Calderon interviewed R1 for complaint. R1 states that R1 had a broken left hip prior to entering the facility. R1 states that R1 had one month of medications and for some unknown reason the facility staff refused to order new medications. On 04/21/2023 LPA Calderon interviewed A1 for complaint. A1 states that S2 and S3 attempted to reorder R1 medications and doctors refused to reorder unless R1 was seen by a doctor. On 04/21/2023 LPA Calderon interviewed S2-S3 who state that they called many doctors who would not give new prescription for R1 with out new evaluation. S2-S3 state that R1 was taking too many medications and needed to be in hospital for detox prior to being seen by a new doctor for a new prescription. On 04/21/2023 LPA Calderon reviewed SNF paperwork and noted that LVN’s requested new prescriptions for R1, but this was refused until detox was done. On 04/28/2023 LPA Calderon interviewed R2-R12 for complaint. R2, R6 and R8 state that they have family members order new medications and do not need facility to help order new prescriptions. R3, R4, R5, R7, R9-R12 state that they have the facility work with their family members to order new medications and they have never run out of medications they need to take.