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Inspection visit

complaint

COUNTRY INN OF DOWNEYLicense 1978037451 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

The investigation revealed the following: Allegation: Staff did not ensure residents medications were properly managed. It is alleged that R1 ran out of their prescribed inhaler on 1/2/25 and staff are having trouble getting the prescription refilled. LPA reviewed 10 residents medication and 9 out of 10 residents medications were properly labeled, accounted for and appeared to be administered per physicians orders. LPA noticed that R9's medication bubble pack still had the am medications for 1/9/25 in the package at 12pm, when LPA asked S2 what happened to the medication it was determined that there was a medication error and R9 missed their morning medication for 1/9/25 (citation will be issued and detailed in the LIC9099-D page). LPA interviewed 8 residents and 7 out of 8 residents stated that they haven't had any missed medications or experienced their medication missing/not being refilled in a timely manner and believe staff are administering medication per physicians orders. Based on LPAs observations during medication review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations, Title 22, Division 6 and Chapter 8, are being cited on the attached LIC-9099D. Exit interview held, and a copy of this report and appeal rights were provided.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87465(c)(2)Type A

    87465 Incidental Medical and Dental Care(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met:(2) Once ordered by the physician the medication is given according to the physician's directions.This requirement was not met as evidence by: While LPA was reviewing medication 1 out of the 10 residents medications reviewed appeard to have missed their am medications as the bubble pack for R9's AM medications (for 1/9/25) were still in bubble pack, S1 investigated this error and it was discovered that the medication was missed as the medtech from the evening shift (on 1/8/25) experienced an emergency in the middle of prepping meds for the following morning (1/9/25) and did not pop the medications, causing the medication to be missed in the moring of 1/9/25. This error was discovered at approx. 12:40pm on 1/9/25.

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FAQ · About this visit

Common questions about this visit

What happened during the January 9, 2025 inspection of COUNTRY INN OF DOWNEY?

This was a complaint inspection of COUNTRY INN OF DOWNEY on January 9, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to COUNTRY INN OF DOWNEY on January 9, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 Incidental Medical and Dental Care(c) If the resident's physician has stated in writing that the resident is unabl..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.