complaint·March 26, 2026

notes confirmed that R1 did receive the medication on the same day prior to being transported to the hospital. The Wellness Director (WD) Veronica Mata explained that delays were related to challenges in obtaining physician orders and prescriptions, including receiving incorrect medication from the provider. Documentation and staff statements indicate that the facility made ongoing and reasonable efforts to resolve the issue by contacting the physician and pharmacy through multiple methods. All staff interviewed acknowledged that delays can occur due to factors outside of the facility’s control, particularly with physician response times. Staff reported following established protocols, including consistent follow-up via phone, fax, email, and delegation to ensure timely resolution. Based on documentation, staff interviews, and corroborating information, the facility demonstrated due diligence in managing resident medications. Therefore, the allegation mentioned above has been determined to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiencies cited at this time and an exit interview was conducted with the facility. A copy of the report and list of confidential names were provided to the facility. administration would require a physician’s order. Facility records, including progress notes, document that R2 refused hospital care. In accordance with protocol, staff notified both the resident’s family and primary care physician also noted in the facility progress notes. WD Mata confirmed that R2 stated that they believe their symptoms would go away on their own and declined further intervention, despite staff concern and continued encouragement to seek care. All staff interviewed stated that they promptly seek medical attention when needed and document refusals while placing residents on alert charting. Additionally, 6 out of 7 residents interviewed reported that the facility responds quickly to medical needs, including contacting emergency services when appropriate. Based on the evidence, staff took appropriate and timely action to address R2’s condition, and the delay in medical treatment was due to the resident’s refusal. Therefore, the allegation mentioned above has been determined as UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis. No deficiencies cited at this time and an exit interview was conducted with Executive Director (ED) Carmen Galicia. A copy of the report was provided to the facility along with the list of confidential names.