Complaint Investigation Report

dispense any other medications. Resident #1 is not given someone else medication. Per file review, the facility does not keep written records of medications that are dispensed to the residents or refused by the residents. Per Marine and Asmik Nadrian, Administrator via telephone, the residents have not refused medications for the reason why there are no notes that resident's refused medications. Per interview with Resident #1, staff dispense medications. However, per visual observation of Resident #1's night stand, bottles of supplements such as Neuriva, Tumeric, Ginger, Soursop, stool softeners and a bottle of Metformin that was previously prescribed at a former home were observed. The bottle of Metformin in the resident's room is in addition to the Metformin already centrally stored. Per Resident #1, the doctor did not prescribe the supplements and is not aware of the resident's use of these supplements. The bottles of supplement were not labeled and no physicians' orders were observed in the resident's file to determine if the use of these supplements could be detrimental to the resident who takes prescribed medications. Facility staff are aware of Resident #1's use of the supplements and have not taken any steps to ensure that the supplements do not contraindicate with their prescribed medications.

Based on the information received on today's visit the above allegation is SUBSTANTIATED.

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