complaint·March 30, 2022

Regarding allegation " Facility staff discontinued administration of resident's medication without permission/order": LPA Colvin reviewed R1's file at the facility, including the history of administration of R1's prescribed PRN ("as needed") medications. LPA Colvin observed that R1 is prescribed two PRN medications, and that the facility staff were administering these medications daily to R1 for a period of months in 2021. LPA Colvin inquired as to why the PRN medication for sleep was no longer being administered to R1, and LPA Colvin was informed that it is because R1 had been sleeping better. LPA Colvin reviewed R1's Physician's Report which indicates that R1 is unable to make their needs known. LPA Colvin interviewed Administrator/Licensee Erika about how these medications are administered and if there is a statement on file from the doctor regarding whether or not R1 can state their symptoms and need for the PRN medication. Erika stated that there is not a statement or form on file due to having submitted it to R1's doctor and not having gotten a response. LPA Colvin concluded that the facility staff are making the determination on when to administer the PRN medications to R1 without communicating with the prescribing doctor. Therefore, based on record review and interviews, the allegation "Facility staff discontinued administration of resident's medication without permission/order" is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. Due to observations made by LPA Colvin, the facility was cited and deficiencies noted on LIC 9099 D. An exit interview was conducted where this report and appeal rights were discussed. A copy this report, LIC 9099D, and appeal rights were provided to Licensee/Administrator Erika Ramos during the exit interview. Due to lack of evidence, the allegation " Facility Administrator not communicating updates on resident's care with Responsible Party " is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Administrator/Licensee Erika Ramos and a copy of this report was provided