Complaint Investigation Report

Staff did not administer residents medication- Unsubstantiated

Resident #1 (R1) was on Hospice and prescribed and administered morphine on an as needed basis. An interview with S1 indicated they were giving R1 their medication as prescribed however stated they failed to document R1’s morphine administration. Due to insufficient documentation, the department is unable to determine is R1 was administered medications as prescribed.

Staff are not communicating with resident's authorized representative- Unsubstantiated

Based on interviews, facility staff kept R1’s authorized representative updated on R1. During the course of this investigation the department interviewed multiple individuals and was provided with conflicting information regarding if R1’s authorized representative was kept updated on R1. LPA cannot prove or disprove if communication was happening between the facility and R1s authorized representative based on the different version of events.

Based on this information, these allegations are UNSUBSTANTIATED . Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated.

This report will be sent via certified mail. Two copies of this report will be sent. The Licensee is to sign and return a copy to the Sacramento North Regional office.