Complaint Investigation Report

In addition, on todays inspection visit, LPA observed a small plastic container cup with several medication that was left in a small table next to resident R2. Staff improperly left the medication there for the resident to take later and did not wait for resident to take it, and there are several residents in the facility including resident R2's room-mate with dementia diagnoses. It was also alleged medication is not refilled timely, records reviewed indicated facility is not properly documenting all medication and some medication is being received late or not filled due to insurance issues and lack of documentation. In addition, it was also alleged food quality is poor. LPA made several visits and although food service has improved, on the visit of 12/29/2021 the facility had several bowls with food not properly stored and items in the freezer had frostbite and packages opened. Based on all of the above the following allegations, Medication is administrated improperly; Medication is not refilled timely and Food quality is poor, the preponderance of evidence standard has been met, therefore the above allegations are found to be all SUBSTANTIATED.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, and repeated deficiencies within a 12- month period may result in a civil penalty assessment.

This report was reviewed with Jean Rice and Appeal Rights provided.