Complaint Investigation Report

The investigation revealed of the following: Allegation#1 " Facility failed to re-filled Prescription for resident" LPA interviewed six residents and all denied the allegation and reported they never missed any medication in the facility and staff never forgot to refill their medication. LPA interviewed staff and reported they usually would assist resident to refill the medication when they have about 7 days medication left , they would either call the pharmacy to refill the prescription or family/responsible party about residents' medication are running low and request them to bring the medication to the facility . If family did not answer, they would leave a message and continue to call the responsible party everyday. The staff also stated that if it is an emergency and they would call the facility pharmacy to refill the medication and the pharmacy can deliver the medication within the same day. The staff stated that R1's routine medication which is through the facility pharmacy Omnicare and R1's PRN medication (Carbidopa Leveodopa) is through Kaiser which R1's family handle it. R1's family would assist R1 to refill the medication/prescription and deliver the medication to the facility. The facility has no interaction with Kaiser. Facility staff would remind family to refill R1's prescription when the medication is running low. LPA also inspected 3 residents medication and all residents medication are updated and current.

Allegation#2 " Facility fail to inform responsible party prescription was not filled" LPA interviewed residents and all denied the allegation and reported the facility is very good at contacting their family members or responsible party for any related medical issues. LPA interviewed staff and reported they did contact R1's family/daughter when R1's medication was running low or when the medication is ready to pick up. Staff did leave a message to R1's family. LPA also reviewed the facility nursing department communication log /progress notes for R1 and it indicated that nurse did remind R1's family to pick up R1's PRN medication and left message to R1's family that R1's PRN medication was ready to pick up.

Based on the interviewed conducted with residents and staff and record reviewed, Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was provided to the Executive Director Danny Vera