Complaint Investigation Report

397005571-3-11-2026-27-AS-LRIS-DS5LZF-20260313091151

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

11/18/2025 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 27-AS-20251118145749

Staff are refusing to get medical attention for resident

Licensing Program Analysts (LPAs) Albert Johnson and Michael Bilger arrived unannounced to deliver findings.

Based on medical records reviewed and medical appointments scheduled the facility has provided R1 with medical attention that resulted in medication adjustments. The facility has followed up on a request to have labs completed. The facility provided information for R1's appointments dated 11/18/2025, 11/26/25 and a refusal of an appointment on 1/20/26. R1 denied refusing an appointment to LPA and Administrator (Curtis) and has requested to go to the doctor to be checked out. The request for labs was done on 11/18/2025 and identified as needing these labs "ASAP". Lab were completed on 11/25/2025 and new orders were given however the facility has not recieved the medication that was ordered. R1 has not had medication(Thyriod) for this new order since 1/26/26 to present.