Complaint·July 2, 2025

Page 2 Allegation: Residents sustained unexplained injuries while in care. Allegation: Staff did not provide medical attention to resident in a timely manner. Reporting party (RP) stated residents sustain skin tear, bruising and no one will report to the doctor until later and no one will follow-up. FMCD stated there’s no resident specifically in Memory Care (MC) sustained unexplained injury and/or bruising. FMCD stated there’s a resident in MC who sustained bruising on 11/19/21 and was reported to her that same day. FMCD further stated that will enter it internally and when she entered it, it's automatic that the Health Services Director will see it and HSD will submit the report to Community Care Licensing. The 2 staff stated when residents have incidents, the facility nurse assess and staff call 9-1-1 when needed. One of these 2 staff stated that if a resident sustains unexplained injury and/or bruising, the caregiver reports to the med-tech who in turn reports to the primary care physician. The 2 residents interviewed stated when they need help, the staff assist. Therefore, the above allegations are unsubstantiated. Allegation: Staff mismanage resident's medication. Allegation: Resident not administered medication as prescribed. Allegation: Residents' medication records not complete. RP stated the med-room is a mess, residents run out of medication due to pharmacy is not on top of it and residents not administered medication. RP also stated that the Central Log for medications is a mess and no dates medications were started. .....continued 9099C (page 3) Page 3 One of 2 staff stated the residents medications are refilled 5 to 7 days before they run out. The facility has an in-house pharmacy but some residents/family members have their preferred pharmacy. This staff and the other staff both stated residents missed medications due to insurance issues and family members not delivering the medications timely. During inspection, LPA observed the med-room organized. LPA reviewed the MARs and checked with the med-tech the information entered in the computer which showed including but not limited to Alert Charting, medications that were discontinued and medications refusals. Although hard copies of LIC622 LPA obtained some not having dates medications started, however, the information were entered in the computer. Therefore, the 3 allegations are unsubstantiated. Allegation: Residents' medical assessment outdated. Previous staff worker stated assessments are not being done timely. LPA selected 4 residents and reviewed their records which showed LIC602A Medical Assessments were less than a year old. Assessments were up to date. Therefore, the allegation is unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegations may have happened or valid, there is not a preponderance of evidence to prove t hat violations occurred. No deficiency cited. Exit interview conducted and copy of this report provided.