Complaint Investigation Report

Staff did not administer medications to resident in care according to physician's instructions. – Complainant alleges “Staff did not give R1 their medications as needed, and staff mismanaged R1 medications”. Interviews and record review indicate that facility did not properly follow physician instructions regarding medication administration. Based on record review and interview with R1’s caregiver, medication patch used to regulate blood pressure was to be replaced every seven (7) days but was not replaced for approximately two (2) months.

Based upon the observations, record review, and interviews, there is a preponderance of evidence to prove that the allegations have been SUBSTANTIATED and are valid.

Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided. See LIC9099D.

Exit interview conducted with Lead Staff, whose signature on form confirms receipt.