Complaint·May 3, 2023

(LIC9099-C Continued) LPA observed two prescribed medications listed on Centrally Stored logs with Date Started 05/01/2023 for R1. On 05/02/2023 Ricky could not provide medications and revealed medications are not in the facility. Interview with Ricky on 05/02/2023 revealed the Centrally Stored Medication Log is created and provided by the pharmacy and medication was previously provided but has not been delivered by the pharmacy. Ricky could not explain why the Date Started is filled in with 05/01/2023 when the medication is not in the facility. On 05/03/2023 at 11:12 a.m. interview with Ricky revealed one medication for R1 was ordered on 05/01/2023 should be delivered in 2-3 days for R1. Based on observation and interviews, the allegation mentioned above is Substantiated at this time. Allegation #2: Licensee does not assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. It is alleged Licensee did not arrange for follow-up appointments for R1. To investigate this allegation LPA reviewed facility's Program: Resident Handbook Of House Rules which indicates the facility is responsible for ALL doctor's and medical appointments, whether routine or in an emergency. During an Emergency Room (ER) visit on 04/20/2023 and 04/24/2023 R1 received instructions to have follow-up appointments with primary doctor. R1 notified Administrator David of instructions given by ER. A follow-up appointment was not determined to be made promptly. Subsequently it was determined an appointment was made after a third visit to the ER on 05/01/2023. Based on interviews and record review, the allegation mentioned above is Substantiated at this time. Allegation #3: Staff do not safeguard resident's personal property. It is alleged mail addressed to R1 had disappeared from where they were originally observed to be. On 05/02/2023 at 05:45 p.m. LPA observed a letter addressed to R1 peeking out from behind a propped-up staff calendar on the administrator’s desk. Interviews with two out of two staff revealed mail is gathered and placed on top of a small fridge located in the office to be handed out to residents. Staff could not explain why a letter would be behind a staff calendar. Based on observation and interviews, the allegation mentioned above is Substantiated at this time. (Continued on LIC9099-C) (LIC9099-C Continued) Allegation #4: Resident's mattress is in disrepair. It is alleged a mattress for resident #3 (R3) is causing bruising on R3’s back. To investigate this allegation on 05/03/2023 LPA and Ricky conducted a physical plant tour of four out of four bedrooms and observed four out of six mattresses. LPA observed R6’s mattress to have a tear on the side of the mattress. LPA observed R3’s mattress to be discolored, have a brownish color stain, and have tears on the bottom side of the mattress. LPA observed Resident #4’s (R4) mattress to have tears on the top of the mattress. Based on observation and interviews, the allegation mentioned above is Substantiated at this time. Deficiencies issued per CA Code of Regulations, Title 22 (refer to LIC9099-D). Report signed and delivered. Exit interview conducted.