Complaint Investigation Report, 07/24/2024 — Cogir of Stock Ranch, Citrus Heights CA

Allegation: Staff did not give resident medication as prescribed:

On 03/28/24 LPA Ratajczak and LPA Mirlohi conducted a medication audit for four (4) residents. LPAs compared each residents Medication Administration Record (MAR) with medications centrally stored for the resident. MARs indicated that medications were administered and logged correctly and were given to residents per their doctor's orders.

Based upon the information obtained during investigation, the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Allegation: Staff illegally evicted resident

LPA conducted interviews and a record review of R1s file.  It was suggested by the Health and Wellness Director that R1 gets reevaluated, because R1 was no longer at their baseline. Additionally, the Health and Wellness Director recommended that R1 have a one-on-one. ED was not present during the incident but was aware of what was taking place. ED was planning to put in a referral with their sister community Cogir of Folsom for R1. When the facility notices a change in a resident, the facility will get the resident reevaluated. If it is noted that a higher level of care is needed, the facility will put in a referral to move the resident to their sister community, Cogir of Folsom. During the course of this investigation the department interviewed multiple individuals and was provided with conflicting information regarding if R1 was given a verbal eviction. LPA cannot prove or disprove if a verbal eviction was issued based on the different version of events.

Exit interview conducted a copy of the report and appeal rights were left at the facility.