Complaint·May 15, 2024

On 5/15/24 at around 10:40am LPA interviewed the Executive Director and Health Services Director regarding the allegation, Executive Director and Health Services Director denied the allegations and stated when resident #1 came to the facility an in- house doctor was assigned to the resident so that so that the previous medication that was being given to resident 1 could continue. Health Services Director explained due to medication being considered a controlled substance it could not follow resident #1 from last placement. The exact date is not known but shortly after Resident #1 switched health care to Kaiser without the knowledge of any of Vista Del Mar staff until they were requesting the medication. Staff were told that resident 1 was not a patient of theirs and would not be refilling the medication. Staff were not able to get medication from their pharmacy. Staff 3 (Health Director ) then called Kaiser for medication and was told, due to medication being a control substance the resident would have to be seen before medication refilled. On 5/15/24 between 11:45am - 1:00pm LPA interviewed 9 of 10 residents who were consistent in their statements that the facility staff has assisted with obtaining their medications regularly without failure. On 5/15/23, LPA interviewed Staff 1-S7 regarding the allegation. 7 of 7 staff interviewed denied the allegation. LPA conducted a file review and information obtained wad consistent with Facility staff interviews. Based upon this investigation, LPA finds that 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 Regarding Allegation - STAFF DID NOT ADMINISTER RESIDENT'S MEDICATION AS PRESCRIBED It is alleged that facility staff do not dispense medication on a timely basis. This medication is supposed to be dispensed one hour before meals and it’s dispensed during or after meals. On 5/15/24 at around 11:30am LPA interviewed the Med Tech Supervisor(S4) regarding the allegation ,S4 denied the allegation and stated resident 1 has a medication that is to be given an hour before dinner, however although staff is there to give it on time, there are times when the medication is refused by resident 1 and the Mars is the receipt of the days refused. On 5/15/24 around 11:45 am LPA interviewed 6 of 6 staff regarding the allegation. 6 of 6 staff denied the allegation. On 5/15/24 during this visit LPA Day observed The MARs of Resident 1 were resident #1 refused timely medication seven (7) times. Based upon this investigation, LPA finds that 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 An exit interview was conducted a copy of this report was left with the Executive Director.