complaint·November 7, 2022

On 03/23/22, LPA Kruz Long made an initial complaint visit and obtained a copy of the Staff schedule, Resident roster and Resident #1's records (Hospital discharge documents, Preplacement Appraisal Information, Physicians Report). LPA Long also interviewed Staff #1 in the conference room at 11:15 am. Regarding allegation: Facility mismanaged resident's medications. Executive Director Pamela was unable to provide R1's MARs as resident was able to administer and store own medications. Per R1's physician's report, it was confirmed R1 was able to store/administer own medications. Per R1's hospital discharge documents, it was discovered that R1 was prescribed Tramadol 25mg, 0.5 tabs as PRN (as needed) medication for pain, to be taken for 7 days. The medication was ordered and started on 2/26/22 at 8:34 a.m. and was to be taken until 3/5/22. Per R1's facesheet, it was discovered that R1 resided at the facility from 3/01/22-04/01/22. The documents revealed that by the time the R1 would have arrived at the facility, R1 would only have a few more days of medication left to be administered. During interviews conducted with R2-R7, (3) of (6) residents stated staff assist them with administering their medications and have never had an incident where medications were mismanaged. (6) of (6) residents stated they have no knowledge of residents stating that the facility mismanaged the residents medications. During interviews conducted with S1-S4, (4) of (4) staff stated they have no knowledge of an incident where the facility mismanaged resident medications. If they had knowledge, they would report it right away to Licensing, their physician, and the families. Regarding allegation: Staff did not administer medications per doctor's orders. During interviews conducted with S1-S4, staff always administer medications per doctor's orders. During interviews with R2-R7, (3) of (6) residents who are assisted by staff with administering their medication, stated that they have no concerns with staff not administering their medications per doctor's orders. (6) of (6) residents have no knowledge of an incident where a resident expressed that staff did not administer their medication per doctor's orders. Regarding allegation: Staff did not treat the resident with dignity. During interviews conducted with R2-R7, (6) of (6) residents state they have never felt like staff did not treat them with dignity. (1) of (6) residents stated there is 1 resident they witnessed to be teased behind their back about their weight and "feels bad" about that occurring. During interviews conducted with S1-S4, no one has witnessed or has knowledge of other staff not treating residents with dignity. Al staff interviewed stated if they had knowledge, they would report it. (Report Continued on LIC9099-C...) Based on the interviews conducted, observations and files reviewed, there was not enough supportive evidence to concur with the reported allegations. 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 . During the visit, no deficiencies were observed or cited. An exit interview was conducted with Operations Manager Itzayana Barba and a copy of this report was provided.