Complaint Investigation Report

LPA Marrufo requested that S2 provide documentation from R1’s Hospice Agency indicating that the Hospice Agency had discontinued R1’s test strips. On 05/22/2026, LPA Marrufo received an email from S2 that included a Medication Order/Prescription Authorization Form for R1 from R1s Hospice Agency as an attachment. The Medication Order/Prescription Authorization Form stated, “Discontinue routine blood glucose checks and discontinue glucose test strips.” The Medication Order/Prescription Authorization Form is dated 05/21/2026.

S3 stated during interview that he/she has been working at the facility for three months. S2 stated R1 does not have any test strips and no staff monitor R1’s glucose levels.

On 05/22/2026, LPA Marrufo conducted a telephone interview with S4. S4 stated that he/she called R1’s Hospice Nurse last month to ask for test strips and R1’s Hospice Nurse told S4 that R1’s test strips were discontinued. S4 stated he/she remembers that R1’s test strips were discontinued since January 2026.

LPA Marrufo made attempted telephone call interviews with R1’s Hospice Nurse on 05/22/2026 and 06/24/2026 and left a voicemail requesting a return phone call. LPA Marrufo was not able to reach R1’s Hospice Nurse for an interview.

Based on information from interviews conducted with staff and records reviewed, although the allegation listed above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated.

No deficiencies were cited under California Code of Regulations Title 22

This report was reviewed with Assistant Administrator Tyrone Vega and a copy of this report was provided.