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Inspection visit

Complaint

COTERIE CATHEDRAL HILLLicense 3856011161 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Complaint alleges, staff did not administer medication as prescribed. Complaint further indicates that R1 is given an eye drop medication more than the daily prescribed dose. Based upon a review of R1's medication records, LPA found that R1 is prescribed two different eye drop medications, both of which have orders for daily use. One of which is administered once per day and the other administered three times per day. Photo evidence shows that the eye drop medication with an order to administer once per day was left accessible in R1's bedroom. However, based upon sample review of R1's MAR, LPA did not find enough corroborating evidence indicating the facility had incorrectly or over-administered R1's medication. In addition, interview with R1 posed contradicting information towards the allegation. A finding that the complaint allegations, staff did not administer medication as prescribed and staff did not properly manage resident's medication are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiency cited.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • Store centrally held medications in locked secure place

    87465(h)(2) - Incidental Medical and Dental Care. Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This was not met as evidence by:** Based upon review of resident R1 records, LPA found that resident R1 is not able to manage or store their own medicaitons. Additionally, gathered photo evidence shows prescription medicaiton left in R1's bedroom by staff on multiple occassions. This serves as an immediate health & safety risk to resident in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 21, 2025 inspection of COTERIE CATHEDRAL HILL?

This was a complaint inspection of COTERIE CATHEDRAL HILL on May 21, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to COTERIE CATHEDRAL HILL on May 21, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465(h)(2) - Incidental Medical and Dental Care. Centrally stored medicines shall be kept in a safe and locked place th..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.