Complaint·September 25, 2025

The investigation revealed the following: Allegation: Staff did not provide resident medication as prescribed On 09/25/2025 LPA Watson conducted interviews with Residents #2- Residents #4 (R2-R4). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff provided them with their medication as prescribed by their physician. Of those interviewed, 4 out of 4 residents denied the above allegation.On 09/25/2025 LPA Watson interviewed Staff #1- Staff #5 (S1-S5). LPA Watson asked the staff if they assisted residents with their medication as prescribed by their physician. Of those interviewed,5 out of 5 staff denied the above allegation. On 09/25/2025 LPA Watson reviewed the (CSDMR’s) and it showed that all residents interviewed received their medication as prescribed by their physicians. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. 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 is Unsubstantiated. Allegation: Staff restrained a resident in a chair. On 09/25/2025 LPA Watson conducted interviews with Residents #2- Residents #4 (R2-R4). An attempt to interview Resident #1 (R1) was made but R1 was not at the facility at the time of the interviews. LPA Watson asked the residents if staff ever restrained them or a resident in a chair. Of those interviewed, 4 out of 4 residents denied the above allegation.On 09/25/2025 LPA Watson interviewed Staff #1- Staff #5 (S1-S5). LPA Watson asked the staff if they restrained residents in a chair at the facility. Of those interviewed, 5 out of 5 staff denied the above allegation. On 09/25/2025 LPA Watson reviewed Physicians Reports, and it showed that no resident residing in the facility needed to be restrained. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. 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 is Unsubstantiated. An exit interview was conducted with the Administrator Mona Alcaraz and a copy of this report was given.