Complaint Investigation Report

445202713-10-19-2024-26-AS-KHOS-DARRCT-20241106115453

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

04/04/2022 and conducted by Evaluator Albert Johnson

COMPLAINT CONTROL NUMBER: 26-AS-20220404103902

Facility staff did not administer prescribed medications to resident resulting in resident suffering pain.

Facility did not notify hospice agency of resident's change in condition

On 10/19/2024, LPA Johnson arrived unannounced to deliver findings for the above allegations. LPA met with Magali and later joined by Alquin Gamab.

Based on records review and interviews with current staff the department was unable to determine if R1 suffered as a result of the facility neglecting to notify the hospice agency about a change in condition. The alleged lack of notification could have contributed to R1 having trouble with pain referred to in this complaint. If there was discomfort or pain it could have been addressed by the hospice agency.

The department could not confirm that the hospice agency was notified of the R1's change in condition, nor could the department from the review of records identify that R1 had a change of condition that would have warrant a call to the hospice agency. R1's condition on discharge from the skilled nursing facility to this care home on hospice was unmanaged right hip pain.

The above allegations are unsubstantiated