complaint·July 14, 2021

Besides that, while the staff put R1's medication into the original package and one of the medication (Potassium 10meg) was missing. In addition, LPA also observed all R2's medication which included Zinc 50mg, Multinvitamin, Sertraline HCL 50mg and Omerprazole Dr 20mg. was missing on the day 15th due to staff put the medication in the cup and accidentally dropped all the medication and staff needs to reorder all the medication for R2 for day 15th. For the PRN medication, the staff was not able to locate R1, R2 and R3's PRN medication in the facility and it was not there since July 1, 2021. For R4, three of her medications (Amlodipine, Rourvastain Calcium 5mg and Montelukast Sodium 10mg) did not dispense for the day 12th and 13th and were still in the bubble pack. Allegation#2 " Inadequate staff resulting in resident's needs not being met." LPA interviewed six (6) residents, one of them refused to be interviewed, three of them reported the facility has inadequate staffing. It took very long for staff to come and assist them. Staff sometimes would forget their needs like showering or giving them medication and would assist them next day or next week for showering or give the medication to them later time or even forget sometimes. LPA also interviewed staff and all admitted they are under staff at the present time and they are in the process of hiring more staff. The staff also reported the inadequate staffing had been an ongoing issues and they only have two caregivers for memory care unit at night shift and one caregivers for assisted living unit. Based on document review, and interviews conducted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiency is being cited according to California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted with Resident Care Coordinator Marina Galaviz A copy of the report an appeal rights were provided.