complaint·October 22, 2025

Based on the information gathered through interviews, LPA was able to determine that the allegation is substantiated. Therefore, the Department finds the allegation to be Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations. Immediate civil penalties of $250.00 were issued because this is a repeat violation within the past 12 months and shall accrue at $100.00 per day until corrected. Appeal rights were left with facility representative. A review of the medication orders the facility has showed the resident had a prescription for 5mg of a medication that was to increase to 10mg after 30 days. Per the records the resident started the 5mg prior to moving into the facility and the 10mg started shortly after the resident moved in per the prescription. There was an entry made by someone at the facility in the computer program the facility uses for medication that changed the order to 5mg, but there was no medication order in the resident’s file indicating the prescription change. The medication administrator record (MAR), which the staff have to log in the dosage of medication given to the resident shows they never stopped giving the 10mg dose until a written doctor’s order came in changing the medication to 5mg. The MAR dosage was based on the original doctor’s order of 10mg. LPA is unable to contact the person who made the medication change in the computer. Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED . A finding that a complaint allegation is unsubstantiated means 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 citations were issued for this report Exit interview was conducted with facility representative and a copy of this report was provided to the facility.