complaint·July 23, 2024

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 allegation is UNSUBSTANTIATED. Regarding the allegation: Facility failed to communicate with residents’ family. It is alleged that the facility did not properly communicate with the family during issues arising from R1. According to records obtained, R1 responsible party was not aware of any communication issues with the facility. The administrator states, they informed the family of resident whenever there were issues like refusal to take medication, the facility would reach out to the family to see if they could talk her into taking their meds. Random outbursts from the R1, claiming to be soiled when they were not. The facility would inform the family when R1 was having behavior issues and need to talk her down, made notes of R1 progress and behavior changes. 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 allegation is UNSUBSTANTIATED. Regarding the allegation: Facility over-medicated residents. It is alleged that the facility was over-medicating R1 to keep her quiet. The facility denies this claim. Facility gave the medications that were prescribed to R1 by physician and were given as prescribed and ordered by doctors. Facility noted that combination of different medications prescribed by different doctors were making R1 agitated and forwarded the information to the family. R1's responsible party stated when R1 was taken to Kaiser, the hospital observed R1 was taking different medications from different doctors and felt the combination of those medications were harming R1 and needed a change of prescriptions to meet R1’s medication needs. The family removed R1 from the facility after her hospitalization at Kaiser and placed R1 into new facility. 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 allegation is UNSUBSTANTIATED. An exit interview was conducted and copy of report was left with the Administrator.