Complaint·June 24, 2024

. Resident 2 (R2) is missing initial for the following medications for the following dates: Zyprexa Zaydis 5 MG Tablet for 05/31/2024 5:00 PM and 8:00 PM, Keppra 500 MG Tablet for 05/31/2024 5:00 PM, Gabapentin 300 MG Capsule for 05/31/2024. (R3) is missing initial for the following medications for the following dates: Quetiapine 50 MG for 05/31/2024, Oyster shell 500 MG for 05/31/2024 for 2:00 PM and 8:00 PM, Micotine Gum 2 MG for 05/31/2024 6:00 PM, Clobetasol 05/31/2024 6:00 PM, Olanzapine 10 MG for 6:00 PM, and Fenofibrate 160 MG for 05/31/2024. (R4) is missing initial for the following medications for the following dates: Norvasc 10 MG Tablet for 05/31/2024, Vitamin D3 for 05/31/2024, Nizoral 2% Shampoo for 05/31/2024, Lactulose 10 GM for 05/31/2024 8 AM, 2 PM, and 8 PM, Zyprexa 5 MG for 05/31/2024 8 AM and 5 PM, Ditropan XL 10 MG for 05/31/2024. Moreover on 05/31/2024, LPA Lee and direct care staff Theodore Patterson audit (R1)’s medication. During the medication inspection it was learned that there were discrepancies in (R1)'s medications. It was learned that (R1)'s medication for Levetiracetam 500 MG, take 2 tablets by mouth 2 times a day with start date on 03/20/2024 with 180 quantities, as of 05/31/2024 audit (R1)'s Levetiracetam medication had 13 pills remaining in the bottle which (R1) should have had 34 pills left instead. It was also learned that (R1)'s Gabapentin 300 MG take by mouth 2 times a day with a start date of 05/23/2024 is showing that (R1) did not received (R1)'s morning medication for on 05/31/2024. As a result, this allegation is SUBSTANTIATED . A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met. Allegation: Staff did not assist resident with attending medical appointments and Staff are not properly supervising resident. It was alleged staff did not assist resident with attending medical appointments and staff are not properly supervising resident. This investigation consisted of record review and interviews with facility staff. LPA Lee reviewed (R1)’s admission agreement on page 2 which states (R1) the facility will assist (R1) in meeting necessary medical and dental needs by arranging and assisting with incidental medical and dental services. Moreover per (R1)’s LIC 602 Physician’s Report (R1) is not able to leave the facility unassisted and that (R1) lacks capacity to make decisions. Continued LIC 9099-C Record reviewed also revealed that (R1) had an appointment on 05/17/2024 at 1:00 PM with SNAHC Medical. Based on interview with direct care staff Theodore Patterson who admitted that she arranged transportation for (R1) to attend (R1) doctor appointment on 05/17/2024 and no facility staff attended and stay with (R1) during (R1)’s doctor visit. Direct care staff Theodore also stated that she informed the receptionist to call the facility when (R1) is done with (R1)’s appointment. As a result, this allegation is SUBSTANTIATED . A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted with Kirk Campbell and a copy of this LIC 9099, LIC 9099-D page and appeal rights provided to facility.