complaint·September 19, 2023

The details of the complaint alleged that staff did not provide copies of resident records to their representative. During the records review, LPA inspected: R#1 Power of Attorney notarized and signed on 2/16/2018. The POA states that RP may request information, records, or other documents regarding R#1’s physical. Mental or emotional health, including but not limited to medical and hospital records and other protected health information as defined by HIPPA. (Health Insurance Portability and Accountability Act). LPA also review R#1’s updated list of home medications at discharge from hospital from 9/11/23. In addition, LPA reviewed (W#1) new medication order with new times. During an interview with Administrator Designee, (A#1) stated that on 9/14/23 around 9:30 AM, she received a call from one of the facility staff; staff told her that one of the family members (RP) was at the facility yelling and cursing in front of the residents saying, 'they give the wrong medication to (R#1) at the wrong time'. I told the staff I would be coming over to explain (RP) the medications. Then, I arrived at the facility and asked (RP) what they needed. (RP) stated, 'This is about your stupid medication record and your staff performance; I want a specific medication to be given at 6:30 AM, 11:00 AM, and 4:00 PM, and you are not changing the time'. I explained to RP that we were following the doctor's orders from the hospital discharge papers that said AM and PM. LPA asked (A#1) how you determined the time to give the medications when only the order said AM and PM? (A#1) stated that she is a licensed vocational nurse (LVN), and AM and PM mean 8 hours apart to give the medication. (A#1) told (RP) that if they want to provide the medications to (R#1) at the times they want, they need to ask for a doctor's order to change the medication times. (RP) asked (A#1), "You better tell Dr. Butlig to come here and change the medication order now." (A#1) told (RP) that she would call the doctor and tell him about your request. On 9/15/23, a Nurse Practitioner from Dr. Butlig's office (W#1) came to the facility and changed the medication order to the times (RP) wanted. (A#1) stated that at any moment, I did not deny copies of the medication records to (RP); I even let them take a picture of the medication records. Evaluation Report continues LIC 9099-C During interviews with staff (S#1-S#3), 3 out 3 stated that they knew the resident's personal rights and the function of a Power of Attorney. Also, 3 out of 3 stated that they have never denied records to residents, residents' Power of Attorney, or their representatives. During interviews with residents (R#1-R#3), 3 out of 3 stated that they know their rights and can make decisions about themselves. Also, 3 out of 3 stated that they have never been denied a copy of their records before by a staff member. During an interview with the Nurse Practitioner (W#1), she stated that RP was concerned about the medication time given by the hospital after R#1's discharge from the hospital. (W#1) stated that on 9/15/23, she came to the facility and sat down with (RP) and (R#1) and changed the time for the medication (RP) requested to be changed. During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegation(s). Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation is found to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted, and a copy of the Complaint Report was given to Teresa Reyes /Administrator Designee.