Complaint·December 16, 2025

R1 stated that there was an incident where she became upset with a facility staff because they ran out of one of her medications, however, they were able to do an emergency refill with the Pharmacy and she has not had any issues since. The Department additionally conducted five resident interviews. Five out of the five residents interviewed denied any issues with their medication and denied staff ever refusing to administer their medication. All five residents interviewed stated that they receive their medication on time and that they do not have any concerns about the staff administering the medication. The Department also conducted four staff interviews. Four out of the four staff interviewed denied ever observing or witnessing a staff refusing to administer medication to a resident. The Department observed that there was an Unusual Incident/Injury Report (UIIR) received by the Orange County Regional Office on June 6, 2023. The UIIR contradicts the complaint allegation and describes R1 being verbally and physically to staff due to her Primary Care Physician (PCP) being unable to order her medications. Based on the evidence gathered during this investigation, the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. An exit interview was conducted with Wellness Coordinator Ervin Nario and a copy of the report was provided.