Follow-up on corrections·August 6, 2024

On 08/06/24 Donna Gurriere, LPA is conducting a case management visit to follow up on a complaint investigation that was received on 05/03/24. Case Number: 59-AS-20240503152347. Met with Michelle Long, Administrative Assistant. During the investigation of the complaint, it was determined that the facility staff were to record the date and time of each contact with the physician when giving a resident (Resident 1) her Pro Re Nata (PRN). In this case the staff were to contact the hospice nurse prior to giving the resident the PRN for Lorazepam and Phenobarbital, provide the date and time of each contact with the physician (hospice) and the physician’s (hospice) directions, were to be documented and maintained in the resident’s facility record. The staff did not document the contact with the physician (hospice) as required. A separate citation will be given this date indicating that the staff did not document when the hospice nurse was contacted to provide the resident with the PRN. Based on investigation observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal Rights were explained and provided to the facility representative listed above and an exit interview was conducted. If any of the cited deficiencies are not corrected by the noted due date, civil penalties may be assessed.