complaint·November 29, 2023

(Continuation from 9099) Based on the interviews and review of pertinent information, the allegation of facility staff did not properly keep records of medication being dispensed, has been unfounded. This agency has investigated the complaint and have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report was provided to the Administrator, Destiny Villalta. (Continuation from 9099) Information obtained from the additional witness further stated there were no photographs or pictures taken during the time of the time frame of the alleged incident. Information obtained from staff interviews stated that there was adequate staffing present to care for the residents. Information obtained from interviews with residents stated that they felt that the staff were attentive to their needs and that they received helped in a timely manner. Facility staff stated that they ensured all required advisements were reported to the hospice company, Community Care Licensing (CCL), and responsible party when incident(s) occurred. CCL did receive a serious incident report from the resident regarding a fall with injury. It was advised that there were no concerns regarding the supervision of residents. In regards to the allegation that staff overmedicated the resident, it was reported that R1 was given a higher level of dosage than what was prescribed. It was reported that R1 appeared very lethargic during visits. LPA reviewed R1’s Centrally Stored Medication and Destruction Log and Medication and Records (MARS) Log. During interviews, Licensee stated that she discussed concerns regarding R1’s behaviors. with R1’s responsible party. Licensee stated that R1’s Responsible Party agreed to request an assessment and increase of R1’s prescription to mitigate inappropriate and aggressive behaviors. According to the Licensee, hospice refused to increase R1’s dosage or make any changes to R1’s medication. Licensee denied that R1 was distributed any additional medications or dosages. Information obtained from R1’s record review of medication, showed that the medication given, was the medication logged and recorded when given to R1. Additional interviews conducted with staff stated that the staff follow orders on when to distribute medication to the residents. Staff stated that this is done after each distribution and initialed by the staff whom perform the task on the MARS log. (Continued on 9099-C) (Continuation from 9099) Based on LPAs observations, interviews, and record review, the allegations of staff did not provide adequate supervision resulting in resident sustaining multiple falls and injuries and staff overmedicated resident may have occurred, however is not supported, or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, a copy of this report, appeal rights was provided to the Administrator, Destiny Villalta, as evidenced by her signature.