complaint·April 28, 2023

On 04/21/2023 LPA Calderon reviewed the SNF paperwork and noted that R1 will be discharged from their facility as of 05/06/2023 due to issues with broken left hip. On 04/21/2023 LPA Calderon interviewed A1 for complaint. A1 states that R1 was taking too many medications and needed to be in a SNF and hospital for detox. A1 states that A1 did not refuse to allow R1 back into the facility, just that A1 needed the SNF to release R1 and then S2 would reassess the resident to see if R1 could return to the facility. Allegation 2: Staff did not re-order residents’ medication timely. It is alleged that staff did not re-order residents’ medication timely. On 04/17/2023 LPA Calderon interviewed W1 for complaint. W1 states that facility ran out of R1 medications due to not ordering when they needed to. W1 states that R1 came into the facility with 1 month of medications and staff had enough time to reorder the medications for R1 needs. On 04/28/2023 LPA Calderon interviewed R1 for complaint. R1 states that R1 had a broken left hip prior to entering the facility. R1 states that R1 had one month of medications and for some unknown reason the facility staff refused to order new medications. On 04/21/2023 LPA Calderon interviewed A1 for complaint. A1 states that S2 and S3 attempted to reorder R1 medications and doctors refused to reorder unless R1 was seen by a doctor. On 04/21/2023 LPA Calderon interviewed S2-S3 who state that they called many doctors who would not give new prescription for R1 with out new evaluation. S2-S3 state that R1 was taking too many medications and needed to be in hospital for detox prior to being seen by a new doctor for a new prescription. On 04/21/2023 LPA Calderon reviewed SNF paperwork and noted that LVN’s requested new prescriptions for R1, but this was refused until detox was done. On 04/28/2023 LPA Calderon interviewed R2-R12 for complaint. R2, R6 and R8 state that they have family members order new medications and do not need facility to help order new prescriptions. R3, R4, R5, R7, R9-R12 state that they have the facility work with their family members to order new medications and they have never run out of medications they need to take. Allegation 3: Resident missed medications. It is alleged that resident missed medications. On 04/17/2023 LPA Calderon interviewed W1 for complaint. W1 states that R1 was with W1 at W1 home and 2 weeks and W1 had requested the MAR. W1 states that S2-S3 had noted that R1 had taken R1 medications when this was not possible. W1 states that the facility ran out of R1 medications, and it was not possible for R1 to take R1 medications and therefore R1 had to go to detox. On 04/28/2023 LPA Calderon interviewed R1 for complaint. R1 states that R1 was with W1 for some time and staff had not given W1 or R1 the medication R1 needed to take and R1 had to go to detox for some unknown reason. On 04/21/2023 LPA Calderon interviewed A1 for complaint. A1 states that R1 was given medications by S2-S3 when R1 was at the facility and A1 does not know what was done while R1 was at W1 home. On 04/21/2023 LPA Calderon interviewed S2-S3 for complaint. S2-S3 state they were in contact with W1 regarding R1 medications needs. S2-S3 state that W1 did not have time to deal with R1 medication needs and advised S2-S3 to do what they could do. S2-S3 state that they could not order new medications without a doctor’s prescription and noted in the MAR when R1 had taken R1 medications and when R1 did not take the medications needed. On 04/21/2023 LPA Calderon reviewed the MAR for R1. MAR suggest that when R1 was in the facility R1 was given medications needed per doctor prescription. MAR noted that S2-S3 had documented when R1 took R1 medications, when R1 missing taking and when R1 refused to take R1 medications. On 04/28/2023 LPA Calderon interviewed R2-R12 for complaint. R2, R6, R8, R10 and R12 all state that they take their own medications without any help from staff and R3-R5, R7, R9 and R11 state that staff has never missed giving their medications every day. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. A face-to-face meeting was conducted with Administrator Amalia Esquivas, and a hard copy was provided.