complaint·August 1, 2024

Staff did not ensure medications were dispensed in a timely manner- On 8/29/24, LPA conducted a follow-up visit to the facility in response to additional information regarding R1 not receiving a prescribed medication. Home Health records noted that R1 was prescribed Modafinil on 9/15/23. R1 was then admitted to one of the licensee's homes in December 2023. R1 was transferred to this home on 1/2/24. At the time of admission, the licensee received a print out from R1's treating hospital, that, though not a signed physician's order, did list Modafinil as one of R1's medication- with a notation that the medication cannot be "refilled at this time." The list was printed on 12/4/23. In interview with the Administrator, Persida Pop, on 8/29/23, Administrator stated that they thought the Modafinil was discontinued. Administrator did not contact the physician for clarification nor a discontinue order. In January 2024, R1's responsible party contacted R1's physician regarding the need for Modafinil. A new order was written and the medication was delivered on 1/11/24. LPA's review of the facility's Medication Administration record (MAR) for R1, did not record Modafinil administred until 1/13/24. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Administrator . Copy of this report and appeal rights provided. Staff did not ensure catheter care was provided to resident in care- Home health records noted that staff are aware of monitoring and emptying requirements of R1’s catheter. Health issues such as bleeding or UTI’s were monitored and medical care was provided by health care professionals as needed. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator.