complaint·February 19, 2025

According to an interview with Staff 2, S2 reported if a resident did not get a medication, their Medication Administration System would have it documented in red and have a note explaining the reason for the missed medication. The reason for not receiving a medication could be refusal, a physician hold order, or the resident was not in the community. S2 recalls times where R1 requested medications from staff; however, could not receive the medication because R1 took the maximum dosage for the day or the time frame was outside the medication order window. S2 stated R1 is vocal and would tell the community if R1 was unhappy with services. On 01/23/2025, LPA Valerio interviewed Resident 1 (R1). R1 reported wanting to manage their own medications rather than having to have staff bring the medications. R1 stated R1 is working closely with S2, their primary care provider, and case manager regarding the timing of medications. R1 does not like not having control over the time to take medications. R1 did not disclose medications were not given to R1 or R1 missed any dosages. When asked about dinning charges, R1 confirmed understanding of the $1 charge. R1 mentioned that R1 felt odd telling staff R1 was sick over the phone and needed food delivered. R1 stated R1 will call the order in and pick it up to eat in the room. R1 stated R1 used to go to the hall before COVID, but without the same people, the dining hall is not the same. LPA Valerio reviewed facility records. Based on record review, R1 is considered independent and responsible for oneself. According to R1's invoice for December 2025, R1 was charged $1.00 forty-one times for utilizing the option to take meals back to the room rather than dinning. The invoice also displayed charges for Alcohol purchases, one-bedroom base rate, Care Plan Fees. According to R1's invoice for January 2025, charges were the same except there were no charges for to-go dinning. LPA Valerio compared the charges on the invoices with R1's Semi-Annual Assessment, and Admission Agreement. LPA Valerio also observed signed agreements between the resident and the facility regarding Fee increases, Meal Pricing, Increase for Base Rate Fees, New To-Go Surcharge, and New Transportation Guidelines. According to Medication Administration Records for December 2024 - January 2025, R1 was observed to receive all schedule medications within the prescribed order and observed to receive all PRNs requested by R1. Based on this information, the allegation is unfounded. A finding of unfounded means the allegation is false, could not have happened, or is without a reasonable basis. Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, no deficiencies are being cited. An exit interview was held, and a copy of this report was provided.