complaint·October 14, 2025

It was alleged that staff did not administer medication as prescribed for R1 per review of Medication Administrator Record (MAR) for July and August 2025 the R1 was given medication as prescribed. Per interviews with 3 out of 3 staff they administer medications as prescribed. Interviews with 1 out of 4 residents stated they are getting their medications as prescribed, the 3 remaining residents were not oriented to place and time. It was alleged the facility is not following the resident's dietary plan. Per review of physician's report dated 07/15/2025 there was no mention of special diet for R1 and it was not until hospital discharge paperwork dated 08/22/2025 a modified diet was mentioned. The paperwork advised "no beef/pork, lactose intolerant and take lactaid before every meal." Per review of MAR starting on 08/22/2025 lactaid was provided at each meal. Based on interviews with Licensee Linda Bolivar, R1 did not eat lunch and therefore staff did not provide lactaid at lunch time. Per interview with Licensee Linda if someone has a modified diet they follow physician's orders. It was alleged the staff are not properly cleaning a resident in care, per interviews with 3 out of 3 staff stated that they assist residents as needed, including changing briefs or providing assistance in the bathroom. Interviews with staff stated they properly wipe residents. Per LPA Mendivil observations all residents are well groomed and dressed appropriately and the facility does not have any odors. Therefore based on the preponderance of evidence through records reviewed and interviews the allegations Staff did not administer medication to a resident in care, Staff are not following resident's dietary plan and Staff are not properly cleaning a resident in care are determined to be UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report and LIC 811 provided to the facility.