complaint·January 24, 2023

Regarding the allegation: Facility staff member is not giving resident medication according to the label the following was revealed: R2's page 7 of 8 Progress Notes by Mark Abramson, M.D. dated September 27, 2022 at 9:28 AM documented Hydrocodone - Acetaminophen (NORCO) 5-325 mg be administered 1 tablet by mouth every 6 hours as needed for severe pain. Two of two individuals interviewed indicated they provided R2 with NORCO medication as prescribed by the doctor and could not corroborate the allegation: Facility staff member is not giving resident medication according to the label. Four of four individuals interviewed stated they received their medications as prescribed by their doctors. Administrator Manuel Perez stated he spoke with R2's doctor and that the doctor stated they would not refill the NORCO prescription for fear resident would become addicted to NORCO. Per Administrator Perez, R2's doctor advised the facility to administer Over The Counter (OTC) Acetaminophen 500 mg for pain whenever possible and to provide the NORCO when resident was experiencing severe pain. Regarding the allegation: Facility was not allowing resident to use the commode located in the bathroom the following was revealed: Two of two individuals interviewed indicated facility staff provided R2 with a bedside commode to facilitate going to the bathroom especially at night. R2 also indicated that at times it was easier to use the bedside commode than going to the bathroom. R2 currently uses the bathroom whenever they need to use the bathroom and is no longer using a bedside commode. The 2 staff interviewed stated the bedside commode was only utilized when R2 came home from the hospital after R2 underwent surgery for a fractured hip. Based on the observations made, interviews which were conducted and the records that were reviewed, 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 following allegations: Facility staff member is not giving resident medication according to the label and Facility was not allowing resident to use the commode located in the bathroom are deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Manuel Perez and a copy of this report along with the LIC 811 was provided at the time of this visit.