complaint·August 2, 2021

LPA has been contacted by an individual from a different agency, on 7/28/21 stating that they were having a difficult time getting a hold of the administrator and wanted to confirm contact information. During an interview with Administrator he stated that he was on vacation for two weeks and the facility designee is Maria Molina-Director of Nutrition Services, whom is also indicated on the LIC308. LPA conducted interviews and the consensus was that it is unknown when the administrator would be on the premises. Per Administrator he is always available due to being on-call 24/7. LPA has called the facility and staff has informed LPA that administrator was not available and did not know when he would be. LPA reviewed the facility schedule and there were no hours indicating as to when the Administrator would be available, as he was not listed. Therefore, the allegation of Administrator is not present on the premises is SUBSTANTIATED. Allegation: Staff did not administer a resident’s medication as prescribed. LPA George reviewed MARs, as well as the prescribed medications, which revealed that Resident # 1(R1) was in fact not given their medications prescribed. R1 was admitted to the facility on 06/02/21 and was prescribed the following: Clonazepam, Ziprasidone, Halperidol, Benztropine, Trazadone). LPA interviewed R1 whom was not able to confirm that they had been without their medications. However, it was confirmed during staff interviews that at the time of admission R1 only had 2 weeks worth of their prescribed medications, and that at minimum of 1 month, that R1 was without their prescribed medication. Per staff interviews staff made attempts but the Doctor stated that they had not seen R1 since 2019, but the prescription label revealed that R1 was prescribed medication in March 2020. Per facility staff a second request was made and did not hear back from the Doctor. There was not any recent follow up until 7/28/21, which is when R1 was able to get their prescription filled. LPA observed at the time of the visit that R1 does have a 30 day supply of medication. Therefore, the allegation of Staff did not administer a resident’s medication as prescribed is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted and a copy of this report appeal rights was provided to Maria Molina-Director of Nutrition Services.