Complaint Investigation Report, 10/12/2023 — Long Beach Residential, Long Beach CA

Allegation: Staff mismanaged resident's medication

The details of the complaint alleged that the facility staff are mismanaging client’s medications.

During the records review, LPA Iniguez observed the following: (R#1) discharge hospital summary records from 9/1/2023. The records indicated (R#1) was hospitalized due to pelvic pain; the documents did not show (R#1) was hospitalized due to a medication overdose. In addition, LPA took a picture of a medication bottle during the visit on 9/26/2023. According to (A#1), this medication bottle was mailed to (R#1) without a prescription, and it is the same medication that was prescribed to (R#1) by her physician. Also, LPA acquired copies of (A#1, S#1, S#2, and S#3) the ARF Medication Training Program Certificate of Completion done on 12/8/2019. Moreover, LPA reviewed the Medication Administration Records (MAR) from (R#1), and no discrepancies were found. On 10/10/2023 (A#1) told LPA that the facility just received another package by mail containing a medication that (R#1) is getting as prescribed medication at the facility. LPA asked (A#1) if the package said who sent the medication, he said no, it only shows the website where it was purchased. LPA asked (A#1) to send him a picture of the package and the medication bottle.

During an Interview with the Administrator (A#1), he stated that all residents/clients are getting their medications as prescribed by their physician, and the system that the facility uses to distribute medications in bubble packs. Then, we put the medications in containers labeled with the days of the week to distribute the medications. Also, (A#1) stated that the staff who oversees passing medications understands how to follow and read the physician’s prescription. In addition, (A#1) stated that (R#1) gets prescribed medications by mail. (A#1) stated that (R#1) calls her family, and they send her the prescriptions by mail. (A#1) receives the packages at the front office. Moreover, (A#1) stated that no other resident/client has ever had their medication mismanaged by the staff, and the staff can communicate clearly with residents/clients without problem.