complaint·April 9, 2025

Regarding the allegation: Staff do not administer resident's medications as prescribed. On 03/19/2024, the Department received a complaint alleging staff not dispensing medications as prescribed to Resident #1 (R1). During the initial visit on 03/20/2024, starting at 2:16 p.m., LPA Peraldi conducted a review of medication and medication documentation with staff for four (4) residents and observed the following: Resident #1’s medications, Amlodipoine 5MG tab quantity 90 (1 tablet by mouth once daily) and Oxybutynin ER 5MG tab quantity 88 (1 tablet by mouth once daily) both had the fill date of 12/14/2023 and were observed to have multiple tablets remaining. During the medication review, staff could not provide a start date. However, regardless of start date and based off the date filled, if staff assisted R1 with R1’s medication as prescribed, the medication should have been finished and new bottles ordered or filled. During today’s visit, the LPAs conducted a review of medication and medication documentation with medication technicians for four (4) residents and observed no errors. Based on medication review, observation and record review, the preponderance of evidence standard has been met, therefore the above allegation, “Staff do not administer resident's medications as prescribed” is deemed Substantiated at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit (See 9099-D). Exit interview conducted. A copy of the report and appeal rights were provided.