complaint·January 7, 2025

Allegation: Staff did not distribute resident's medication as prescribed. It has been alleged that on 12/31/24, R-1 called staff and requested R-1’s pain medication and was not provided with the medication. (4) out of (6) interviewed staff indicated that they recalled R-1 recently requesting R-1’s pain medication but were unable to provide the date nor time of the request as there are numerous residents that request their as needed (PRN) medications daily. (2) out of (5) interviewed residents indicated that they have recently requested their as needed (PRN) medications and were not provided with their request. Documentation reviewed revealed that on 12/31/24, R-1 was provided with Baclofen 10mg and Ibuprofen 600mg at 3:01 A.M. and 8:17 A.M. for pain. Per documentation, on 12/31/24, R-1 was not provided with another dose of the above noted medications. Per R-1’s physician’s order, both Baclofen 10mg and Ibuprofen 600mg are to be administered TID (every 8 hours) for pain as needed. R-1’s medication administration log indicated that both medications were administered in less than (8) hours and the log does not include the “reason” nor “result” of the administered medication. Based on interviews conducted and document review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiency is being cited according to California Code of Regulations, Title 22. Refer to LIC 9099D. Exit interview, appeal rights and a copy of this report was provided to Priscilla Gaytan.