Complaint Investigation Report

496804112-12-8-2025-21-AS-BMOS-DSNREZ-20260330125819

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

12/04/2025 and conducted by Evaluator Dina Alviso

COMPLAINT CONTROL NUMBER: 21-AS-20251204145622

Staff did not provide resident's medication as prescribed

Licensing Program Analyst (LPA) Alviso, conducted a complaint inspection, at approximately 10:45am on 12/8/2025, and met with Eric Perry, Administrator, and Dori Elder, Resident Care Coordinator. Reporting party (RP) alleges that "staff did not provide resident's medication as prescribed" and "staff mismanages resident's medications." RP was not able to provide any specific information on medications/prescribed medications. LPA reviewed resident R1's records, including admission records, medical assessment, care plan, medications/Dr's Orders, and documentation on incidents/progress notes. LPA requested copies of records; LPA was provided the requested copies during the inspection. LPA conducted interviews with staff, and other related parties.

The investigation revealed that staff are providing R1's medications as prescribed. Per interviews and record reviews, R1's medications are documented as required, and signed off by staff when provided to the resident. Per interviews conducted with other parties, there is question as to what medications are being provided by staff to R1, not that staff aren't providing medications as ordered. Per review, all resident R1's medications have Dr's Orders, and are provided to R1 per physician orders. There was no information obtained that supported a violation occurred regarding the allegation. Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations of "staff did not provide resident's medication as prescribed" and "staff mismanages resident's medications." are Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview was conducted with Eric Perry, Administrator.