complaint·October 5, 2022

Pre-Placement Appraisal (dated 03/15/21), Appraisal Needs & Services (dated 05/20/21), Medication Administration Record - MAR (March 2021), and Memorial Care Home Health Agency Certification Period, effective 11/20/20 - 01/20/21. Regarding Allegation #1 : this investigation revealed based on interviews conducted, the majority corroborated that there was a lack of communication between the skilled-nursing facility and the assisted-living facility when Resident #1 (R1) had transferred to the facility on 03/15/21. Complainant misunderstood and thought Resident #1 was out of prescription medications (Levothyroxine & Allopurinol) altogether; however, later learned that the resident had a few meds to hold over a few days. Once the physician's authorization was established with the pharmacy, Resident #1 was back on their routine medications. Based on the evidence gathered and interviews conducted and records reviewed, 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 of MEDICATION: Staff did not refill resident's medication is found to be UNSUBSTANTIATED. Regarding Allegation #2 : this investigation revealed based on interviews conducted, the majority corroborated that Witness #2 would schedule Resident #1's medical appointments; although, Resident #1 was already receiving home health care. Administrator did take over to schedule the resident's medical appointments from Witness #2; of which, Witness #1 confirmed that Resident #1 had been scheduled for and attended medical appointment(s) with the primary care physician. Based on the evidence gathered and interviews conducted and records reviewed, 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 of PERSONAL RIGHTS: Staff are not scheduling resident's medical appointments is found to be UNSUBSTANTIATED. Regarding Allegation #3 : this investigation revealed based on interviews conducted, the majority corroborated initially Resident #1 could not get transportation services every other day from Cerritos to Buena Park for the resident's medical appointments. Once Witness #2 located a new dialysis center (around the corner from the facility), transportation arrangements were made (through the city's dial-a-ride); and, the Administrator took over from Witness #2 and began making the resident's transportation to their medical appointments . Based on the evidence gathered and interviews conducted and records reviewed, 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 of PERSONAL RIGHTS: Staff are not ensuring resident has transportation to medical appointments is found to be UNSUBSTANTIATED. An exit interview has been conducted and a copy of the Complaint Report was provided to Staff #2 (S2: Amelia Morales, 2nd House Manager).