complaint·September 15, 2022

Regarding Allegation #1 : this investigation revealed that Resident #1 was requesting the pain medication (Acetaminophen 325 mg.) every two (2) hours. LPA/RA Ceniceros reviewed the physician's order from Witness #1 (W1: Dr. James Lee, M.D.) that was issued in a "PRN Authorization Letter" (dated 09/07/21) for PRN medication (Acetaminophen 325 mg) to be administered: two (2) tablets (650 mg) by mouth every four (4) hours as needed for pain. A review of the resident's Medication Administration Record (MAR) for the month of September 2021 documented that the resident had been administered the PRN medication (Acetaminophen 325 mg) every four (4) hours as needed for pain (from 09/02/21 thru 09/30/21). Based on the evidence gathered and interviews conducted and records reviewed, 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 of NEGLECT/LACK OF SUPERVISION: Facility failed to meet resident's needs is found to be UNSUBSTANTIATED. Regarding Allegation #2 : this investigation revealed that Resident #1 was admitted to the facility on 05/25/21. LPA/RA Ceniceros reviewed the resident's "Personal Property Inventory" (signed and dated 05/25/21) by Resident #1 that did not document the resident brought a brown suitcase and/or Filipino costume with other personal belongings upon facility move in. Based on the evidence gathered and interviews conducted and records reviewed, 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 of OTHER: Resident's personal belongings are missing is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report provided to Asst. Administrator (Rachel de Chavez).