complaint·March 4, 2022

Allegation: " Staff are failing to administer resident's medications ." Based on record review and interviews conducted the findings indicate that Memory Care unit resident (R1) has not been administered 13 medications ordered by physician since March 1, 2022; a total of 4 days. The facility failed to obtain refill medications from the resident’s pharmacy. According to staff interviews, cycle medications are automatically refilled by the pharmacy on a monthly basis, and/or more often when there is new physician orders. LPA spoke to R1's pharmacy and was informed that the medications were not delivered as a result of non-payment of $ $528.55 since September 2021.The findings indicate that the pharmacy provided the facility a 10-day notice of discharge on February 17, 2022, and spoke to facility staff on February 28, 2022 regarding non-receipt of payment. Facility was informed that medications would not be filled for the month March unless payment was received. The pharmacy has not been paid as of today. A total of 7 residents were interviewed; of which one (1) resident stated that it ran out of one medication last week, and was filled 1 day late. Resident (R1) is a Dementia resident without a public guardian or family. However, R1 confirmed that it has not received medications this week. Therefore, it is the facility's responsibility to ensure that R1's medications are filled in a timely manner, so there is no lapse in medication administration, and that the medications are paid for. Medications were audited during today's visit, and none of R1's medications were at the facility. Resident (R1) has hypertension and is diabetic. Which poses an immediate health, safety or personal rights risk to persons in care. Per Title 22, Division 6, Chapter 8, Article 08. Resident Assessments, Fundamental Services and Right. 87465(a)(4) Incidental Medical and Dental Care. A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self-administered medications as needed. Based on record review the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiencies are being cited according to California Code of Regulations, Title 22, Division 6, Chapter 8, Article 08. See LIC 9099D. An exit interview was conducted with Administrator Regina Guevara. A copy of the report and appeal rights was provided.