Complaint Investigation Report

Allegation: Staff gave resident wrong medication.

Based on records reviewed LPA was able to establish that R1 was given the wrong medication on 9/17/2021. The facility notified the Primary Care Physician and the family of R1. R1 was monitored throughout the day for any adverse reactions. The facility noted that there were no adverse reactions. The facility provided the department with an incident report dated 10/1/2021 which detailed the incident.

The preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. The following deficiencies were observed (see LIC 9099-D) and cited from the California Code of Regulations, Title 22.

Appeal rights and report given at the conclusion of the investigation.