complaint·April 11, 2023

Continued from LIC9099 Therefore, the allegation is UNSUBSTANTIATED. There is an allegation that Medications are not being dispensed as prescribed. Records reviewed for R1 showed that R1 is on Hospice and has their medications prescribed and ordered through their Hospice Agency. Review of R1’s Medication Administration Record (MAR) showed that the facility has been administering R1’s medication as prescribed, and that there have been no medication changes made since R1 moved into the facility. Based on records reviewed, LPA is unable to determine if Medications were not being dispensed as prescribed. Therefore, the allegation is UNSUBSTANTIATED. There is an allegation that the Facility failed to safeguard residents personal belongings. Report provided to LPA on 1/10/2023 stated that the facility did not safeguard R1’s dentures and that they were misplaced. Interviews conducted stated that the facility failed to keep R1’s dentures safe resulting in the dentures getting thrown out but that R1 received replacement dentures two weeks after the incident. Record Review showed that R1’s personal property inventory did not have dentures listed. Review of Facility’s Loss and Theft Policy showed that R1’s responsible party was informed of the policy on 11/22/2022. Based on records reviewed and interviews conducted, the LPA is unable to determine if the facility failed to safeguard residents personal belongings. Therefore, the allegation is UNSUBSTANTIATED . There is an allegation that Call bells are not responded to timely. Staff interviews conducted stated that the facility does not have a call bell light log but that they check on residents every two hours. Interviews conducted stated that resident bathroom and bedroom call lights are manually reset. Each resident also has a necklace call light which is programmed to have an identifying ring tone. During visit conducted on 03/17/2023, LPA observed the Director of Care, Jolly Caruncong, use a walkie talkie to radio all care staff in the facility when a resident would call. LPA also observed care staff walking up and down the halls checking on residents, providing care to residents, and assisting residents to go to lunch. Interviews conducted also stated that facility will document two hour checks if ordered by a resident’s Physician or by the request of the Responsible Party. Based on interviews conducted and observations made, the LPA is unable to determine if call bells were not responded to timely. Therefore the allegation is UNSUBSTANTIATED. Continued on LIC9099C Continued from LIC9099C A finding that the Complaint is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No Deficiencies Cited during visit. Exit interview conducted. Copy of report and LIC 811 (Confidential Names) discussed and provided to Administrator. Signature on form confirms receipt of documents.