Facility Evaluation Report

LPA Christine Yee conducted an unannounced case management visit due to deficiencies noted during a visit to the facility today. The reason for this visit was provided.

During review of Resident #1's file, LPA Yee observed that the resident's file was incomplete. Resident #1's file did not contain:

PRN Authorization letters for Clonodine 0.1mg, Acetominophen 325mg, Tizanidine 2mg. Staff makes the decision to dispense the PRN medications.

Copies of the Physicians Order for the centrally stored medication.

Resident #1's Physician's Report is not signed,

Admission Agreement for Resident #1 is not signed.

Resident #1 was placed on hospice effective on 1/23/24 and the Department was not notified within 5 days of initiation.

Any deficiencies not addressed on today's visit will be addressed on a return visit.

Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8

Exit interview was conducted, APPEALS RIGHTS discussed and a copy was given.