Complaint·November 25, 2025

Staff also denied that any residents had been hospitalized due to medication mismanagement. A review of Resident 1’s (R1) MAR from July through November showed no discrepancies. R1’s seizure medications were administered as prescribed, with occasional refusals by R1 documented. According to R1’s LIC 624 Incident Report dated 09/17/2025, on 09/11/2025, paramedics were called after R1 was found on the floor in their room and reported feeling like vomiting; therefore, R1 was transported to the hospital. Hospital records indicate that R1 was admitted on 09/11/2025 due to a seizure and discharged on 09/12/2025. During two unannounced facility visits on 09/25/2025 and 11/17/2025, LPA Lee reviewed the medications of R1 and Resident 2 (R2) and found no discrepancies. Based on interviews and the record review conducted during the investigation, LPA Lee found no corroborating evidence that staff mismanaged residents’ medications resulting in hospitalization. Therefore, the allegation of medication mismanagement by staff is unsubstantiated. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred. An exit interview was conducted with Executive Director Corpus and a copy of this report was provided to the facility.