complaint·April 21, 2026

LPA reviewed R1’s admission agreement dated 08/27/2025. Administrator confirmed that R1 moved out of the facility on 02/14/2026. LPA reviewed R1’s physician’s report dated 08/27/2025 documenting R1 exhibits memory loss and the “Able to Administer Own Prescription Medications”, “Able to Administer Own PRN Medications” and “Able to Store Own Medications” categories are marked “No”. Administrator was interviewed and reported the following information. R1 was not prescribed any medications upon admission to the facility. While residing in the facility, R1 was prescribed routine medication which staff administered as prescribed. The facility has a contract with Yorba Linda Pharmacy (YLP) who is responsible for creating an electronic Medication Administration Record (MAR) profile for residents. Facility staff then use the electronic MAR to log the residents’ medication administration while residing in the facility. If a resident uses a different pharmacy, facility staff will fax YLP a request to profile the medication for MAR purposes only. If the resident is not listed in the electronic MAR, facility staff are responsible for generating a paper MAR until the resident’s electronic MAR is created by YLP. After a resident leaves the facility for thirty days, facility staff no longer have access to the resident's electronic MAR and are required to contact YLP to request a copy. Administrator contacted YLP to request a copy of R1’s electronic MAR for LPA’s review, but YLP staff was unable to locate a MAR profile for R1. Two (2) of two (2) staff interviewed refuted the allegation and reported R1 received their medication as prescribed which was documented in R1’s electronic and paper MARs. Two (2) of two (2) staff interviewed reported observing multiple paper MARs on file for R1. However, administrator was only able to locate one (1) paper MAR from September 2025. Administrator was unable to locate a paper MAR for each medication prescribed to R1 during their stay in the facility. LPA was also unable to make contact with the facility's former memory care director or R1’s responsible person for an interview. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview was conducted and a copy of this report and Confidential Names list (LIC 811) was reviewed and provided to Administrator Bogoje.