Complaint Investigation Report

During a review of incident reports for the month of April 2023, the facility did not report the incident to CCL. (See LIC 809) Furthermore, LPA reviewed a sample of residents Medication Assessment Records (MARS) to ensure that there is no pattern of not administering medication. MARS for the sample of residents reviewed were appropriate with time and dates indicated. LPA educated the Assistant Administrator on the importance of administering medication that is prescribed by a physician.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Assistant Administrator.