Complaint·February 26, 2024

(Continue from LIC9099) According to the physician’s notes, on February 18, 2024, R1’s medical condition had been negatively affected due to the lack of medication . On February 26, 2024, during a visit to the facility, a review of R1’s medication administration records (MARs) confirmed that R1 had not been administered the medication as prescribed for nine (9) days from February 10th to February 18th, 2024. In addition, the MARs review disclosed that there was another medication that was not administered as prescribed from January 29, 2024, to February 18, 2024. According to the MAR’s notes, staff ordered a refill of the Nortriptyline on February 14, 2024. In addition, per the MARs review, there was no record if the medication refill was placed for the 2nd medication not administered. During interviews, staff indicated they did not know why the medication refills were not placed on a timely manner to meet R1’s needs. According to R1’s physician’s report, R1 needs assistance with medication management. No other explanation of why additional follow-up was not performed by staff to ensure medication refills for R1 were processed on time was obtained during the investigation. The Department has investigated the above-mentioned allegation and based on interviews with staff, outside sources, and records review, this allegation is deemed to be substantiated. A substantiated finding means the allegation is valid because the preponderance of the evidence standard has been met. A deficiency was cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on LIC 9099-D. A plan of correction was developed with Administrator, Rocio Granda. An exit interview was conducted with Administrator, Granda, to whom a copy of this report, LIC 9099D Deficiency form, the Licensee Appeal Rights (LIC9058 01/16), and the LIC 811 confidential name list were provided at the conclusion of the visit.