complaint·August 9, 2023

9099C-1...LPA reviewed a letter that was faxed to the community on 7/28/23 requesting changes be made following resident's medical evaluation that day: Discontinue Medication, Prozac (Fluoxetine) 10 mg Discontinue Risperidone (scheduled and PRN doses) Start Olanzapine 2.5 mg po qhs for 3 days , then increase to 2.5 mg, po bid on 7/31/23d Continue Lorazepam, as PRN, and Melatonin and Donepezil at current doses LPA reviewed a Medication list faxed to the facility on 8/8/23 (9:23 am) noted as "New and Updated list as of 4 pm- 8/7/23". Med-Tech staff indicated that medication changes hadn't been inputted into the system to be reflected on the MAR as of 8/7/23. Resident's Nurse Practitioner came out to the facility on 8/7/23 to review the medications as she was upset the updates to resident's medications had not been implemented on the MAR on/around 7/28/23. Specifically, changes to resident's medications were not entered into the system on/around 7/28/23. MAR records for August 2023 reflect (4) medications discontinued on 8/8/2023 and (3) medications added effective 8/8/2023, and show a total of (10) medications listed on the MAR, which agrees with the medication orders. Discontinued medications as follows: Fluoxetine 10 mg tab; Acetaminophen/Hydrocodone 325-5 mg tablet; Ibuprofen 600 mg tablet; and Lorazepam 0.5 mg tablet. Medications added: Multivitamin with minerals; PRN Mineral Oil; and Tea Tree Oil on toenails daily. Med-Tech staff indicated that resident's nurse practitioner was provided with a signed/updated MAR for August on 8/7/23, as requested. Based on information obtained, LPA finds the allegation to be SUBSTANTIATED- finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) citation is issued on the 9099-D page. Exit interview. Copy of report and appeal rights provided.