complaint·October 23, 2023

Allegation #2 " Reporting Requirements". The allegation alleged that the facility failed to report resident #1’s (R1’s) medication errors. LPA Nickolas’ interview with the Licensee revealed that the Licensee stated they sent a fax about the medication error to the Community Care Licensing Division (CCLD) via fax. The Licensee stated they also reported this incident to another agency. LPA Nickolas’ file review revealed no record of this incident reported to our agency. However, the Licensee has a history of reporting unusual injuries/incidents at the facility before and after this incident. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation. A finding of Unsubstantiated means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and copy of this report was provided.