complaint·November 22, 2025

In regard to the allegation” Staff are not administering residents' medications as prescribed”, It is alleged that R1 did not receive medication despite documentation stating that he/she did. R1 was not present at the facility for the time medication was marked given. Its is also alleged that R1 was given medication that had been discontinued by physicians During interview with Administrator, and staff two (2) out of four (4) stated that there was a medication error and R1 did not receive medication due to them being away with family for the day even though it was signed off as given. S4 stated that R1 was given discontinued medication because it was put in the medication cart even though it was discontinued. During interviews with residents eight (8) out of ten (10) residents stated that they have had no problems with medication to their knowledge. LPA conducted random medication check on residents’ medication and found errors and discrepancies in all five residents checked. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was provided.