complaint·May 22, 2024

The allegation that the staff administered a PRN without consulting a physician is substantiated. The investigation did not reveal any adverse outcomes. LPA determined that there was no negative impact to R1 or other residents and did not affect the overall operation of the facility. This is considered a technical violation and no citation is being issued at this time. An exit interview was conducted with Teresita Duclayan,caregiver . A copy of this report along with Licensee Rights (LIC9058 01/2016) was left at the facility. R1 was being discharged from the facility. The individual transporting R1 noted that R1 was having breathing difficulties and took R1 to a medical provider and antibiotics were prescribed. R1 was not admitted to the hospital. Interviews revealed that R1 used their inhaler that morning. This is not unusual for R1. One of two individuals with knowledge of R1’s condition prior to R1 leaving the facility reported that R1 might have been getting a cold. The other reported that R1 was "normal". The investigation revealed no evidence to indicate that R1’s had a noticeable change in condition in the days prior to R1’s discharge. The preponderance of evidence standard has not been met to confirm that the staff failed to address a change in condition and this allegation is unsubstantiated. An exit interview was conducted with Teresita Duclayan,caregive r. A copy of this report along with Licensee Rights (LIC9058 01/2016) was left at the facility.