Incident investigation·October 26, 2023

On 10/26/2023, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced to conduct a Case Management- Incident to obtain information regarding an incident that occurred at the facility on 09/25/2023. LPA met with Executive Director, Nathan Condie, and explained the purpose of the visit. The Case Management visit is in response to an incident report that was submitted to CCLD. Incident report indicates, a bubble pack of 30 Tramadol 50mg was not in the Narcotic Drawer on 09/10/2023. Resident Care Director, Kathryn Nevin, was immediately notified and searched the entire medication room. The facility conducted an internal investigation. Roseville Police Department were notified via telephone. Case number was provided. R1's doctor notified for refill of medication. R1's responsible party was notified. The facility provided in-service on 9/23/2023 and 9/24/2023 in regards to policy on narcotic count and general medication room policies and procedures. LPA requested for in-service training for review. At this time, deficiencies are not being cited. An exit interview conducted and report provided.