complaint·February 7, 2024

Allegation: Facility staff did not arrange for medical care as needed It is being reported that resident requested to be seen by a therapist. There was a new resident assigned to R-1’s room. Per RP, that is when the problems began. New roommate triggered R-1’s behaviors. R-1 would become anxious and displayed aggressive behaviors. RP stated R-1 requested to be seen by a therapist. LPA reviewed resident’s facility file and observed Initial Psychological Eval dated 4/30/21. R-1 was given numerous opportunities to be evaluated by in-house therapist. R-1 refused to be evaluated as hours were too early. R-1 was given the therapist number to call anytime to be seen. R-1 never called to schedule an appointment. On 2/7/24 LPA Shirley interviewed resident 2 – resident 8 (R-2 - R-8). LPA asked residents, do you feel that you get the medical care that you need here. Of those interviewed, 5 out of the 8 answered yes. R-1 was not available for interview. On 2/7/24 LPA Shirley interviewed staff 1-staff 8 (S-1 - S-8). LPA asked staff, do you arrange for medical care as needed. Of those interviewed, 7 out of 8 staff answered yes. Based on information gathered, the department did not find sufficient evidence to support allegations " Facility staff did not arrange for medical care as needed.” 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, therefore the allegation is Unsubstantiated . Allegation: Facility staff did not dispense medications as prescribed It is being reported that every time R-1 request anxiety medications the staff would put her off. During file review, LPA reviewed Medication Information from LCD Pharmacy prescribing anxiety medications from Dr. Pantea Farhadi, Psychiatrist. LPA called doctor to verify services for R-1. LPA was told by Dr. Pantea Farhadi that R-1 is seen monthly. LPA also reviewed the MAR for R-1 and observed that resident did not miss a dose of medication up until their last day at the facility on 1/22/24. The days following last day at facility, the MAR is initialed “H” for hospital. LPA was told by S-1 and S-3 that R-1 would arrive early for medication to be dispensed and R-1 was told to return at a specific time to be given medication as per prescribed time. On 2/7/24 LPA Shirley interviewed resident 2 – resident 8 (R-2 - R-8). LPA asked residents, when you request prescribed medication from the staff do you usually get what you need. Of those interviewed, 6 out of the 8 answered yes. R-1 was not available for interview. On 2/7/24 LPA Shirley interviewed staff 1-staff 8 (S-1 - S-8). LPA asked staff, when a resident request prescribed medication, does the resident get the medication. Of those interviewed, 4 out of 8 staff answered yes, if prescribed. Two answered they would tell the med techs as they are caregivers and two did not know. Based on information gathered, the department did not find sufficient evidence to support allegations " Facility staff did not arrange for medical care as needed.” 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, therefore the allegation is Unsubstantiated An exit interview was conducted and a copy of the LIC 9099 was provided to Director Susie Fuentes.