Complaint·June 28, 2024

Administrator stated that the medication in question of which R1 had missed for 4 days, was to address seizures. Administrator stated that he notified R1’s representative after R1 had the seizure and was hospitalization occurred on 10/27/2023. LPA Jeffries collected and reviewed Serious Incident Report dated 10/27/23 from facility reporting R1 seizure, UTI, hospitalization, and note indication “BE SURE MEDICATIONS ARE FILLED IN TIMELY MANNER. NOTIFY POA, DOCTOR, ADMINISTRATOR …” LPA reviewed Facility Centrally Stored Medication Records (CSMR) for R1 and noted that the medication in question was filled on 10/27/2023 after R1 had gone to the hospital due to seizure. Based on documentation, interviews, medical records and admission, there is enough evidence to support the allegation of, “Staff did not refill resident’s medication prescription in a timely manner causing resident to get a seizure.” and is substantiated at this time. Administrator was informed that the case will be reviewed and it is possible additional civil penalties could assessed based on Health and Safety Code 1569.49(f). Exit interview, report read, citation and fine issued, appeal rights and report provided.