Complaint Investigation Report

Regarding the allegations: Staff failed to administer resident’s medication as prescribed. It was alleged that staff failed to properly assist residents with the self-administration of medication as prescribed. During a subsequent visit, LPAs Peraldi and Smith conducted a review of medication and medication documentation with the Administrators and observed the following: Resident #2’s (R2’s) Carbidopa-Levodopa (sp) per directions from physician, was to be administered four (4) times a day. However, the Medication Administration Record (MAR) confirmed that the Administrators were assisting with the self-administration of this medication three (3) times a day. The Administrators explained that R2 would refuse one (1) tablet of the medication and would only take the medication three (3) times a day. Based on the observation and record review, the preponderance of evidence standard has been met, therefore the above allegation is deemed Substantiated at this time.

Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8, and California Health and Safety Code the following deficiency were cited (refer to LIC 9099-D). Failure to correct the deficiency may result in civil penalty.

Exit interview conducted. A copy of the report and appeal rights were provided.