Complaint Investigation Report

While reviewing Resident R1’s medications, a discrepancy was discovered. R1’s Medication 1 had an excess of 11 tablets. R1’s medication 1 bottle had the following information: Take tablet by mouth twice a day.

LPA reviewed resident R6’s medications. While auditing R6’s medications, LPA discovered that medication 1 had an excess of 13 tablets and Medication 2 had an excess of 3 tablets. R6’s medication 1 bottle had the following information: 1 tablet for bedtime. R6’s medication 2 bottle had the following information: 1 tablet for bedtime.

LPA reviewed resident R7’s medications. While auditing R7’s medications, LPA discovered that medication 1 had was short 4 tablets and Medication 2 had an excess of 24 tablets. R7’s medication 1 bottle had the following information: Place 2 tablets by mouth and allow to dissolve at bedtime. R7’s medication 2 bottle had the following information: take 3 tablets by mouth at bedtime.

LPA interviewed ADM. ADM stated the residents R1, R6 & R7 don’t refuse their medication. ADM stated she does not have a copy of R1, R6 & R7’s Medication Administration Record. ADM stated she doesn’t know why there a discrepancy in the pill count.

On March 5, 2024, LPA Manuel Monter interviewed Administrative Assistant, (AA).

AA stated some residents do refuse to take their medications sometimes.

Based on interviews and observation/inspection of the facility, the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED .

Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D. This report was reviewed with Administrator, Cecilia Eustaquio and a copy of the report was provided. Appeal Rights was provided.