Complaint Investigation Report

Allegation: Staff did not administer medications to resident.

The allegation alleges that a resident did not get their medications because the facility did not know where the resident’s medications were.

LPA reviewed Resident R1’s Centrally Stored Medication and their electronic Medication Administration Record (eMAR), LPA observed on the date of 08/12/23 one medication was marked “Drug Not Given (DNG)” and the other medication on that date was not marked. Additionally, on 08/13/23 the same medication was marked “Drug Not Available (DNA)” and the other medication on that date was marked DNG. During an interview with W1, stated they came in to visit R1 on 08/13/23 and the nurse, from an outside vendor, that was working couldn’t find R1’s medications. Additionally, W1 stated R1 was not given their medications till 08/15/23 when the regular nurse returned.

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California code of Regulation, (Tittle 22, Division 6 & Chapter number 8), are being cited on the attached LIC 9099D.