Complaint·January 13, 2026

Both medications were unattended at times and accessible to residents in care. LPA noted during resident record review that 5 of 6 residents currently residing in the facility cannot manage their own medications. During today’s visit LPA observed and photographed the following medications unattended and unlocked: at 1:10pm in Resident #4's (R4's) bedroom a bottle of Bayer aspirin with additional unmarked capsules inside with the aspirin tablets and a bottle of glucosamine chondroitin with capsules of different colors; at 1:16pm in Resident #1 (R1) and Resident #3's (R3's) bedroom a container of the Licensee's personal belongings including four medicated tubes of hydrocortisone cream, bottle of B-12 vitamins, bottle of alpranax, and in a separate bag in the dresser 9 medication bottles with medication in them including 2 bottles of hydromorphone 4mg, one bottle with 182 tablets and the other with 30; at 1:20pm in Resident #2's (R2's) bedroom a bottle of iron tablets, two bubble packs of medications, and two bottles of medications. On 12/31/2025 LPA conducted an annual facility visit and cited for cleaning solutions and medications left unlocked and unattended and on 2/7/2025 during a complaint visit the facility was cited for centrally stored medications not being locked. Licensee stated they did not do a thorough check after the annual visit on 12/31/2025 because they were busy with the residents and had to to take care of other things for the facility. They also said they do not have enough room to store all the medications in the medication drawers located in the kitchen. LPA ensured Licensee locked up all medications in other locked storage during today's visit. Since this is a repeat violation of the same Title 22 regulation within 12-months an immediate civil penalty in the amount of $250 is being assessed today, for every day this deficiency is not corrected an additional civil penalty can be assessed of $100/day. Based on all interviews conducted, record review and LPA observation, at this time the above allegation was found to be substantiated , there is a preponderance of the evidence to prove that the alleged violation occurred. Exit interview, deficiencies cited on LIC9099-D page, an immediate civil penalty in the amount of $250 is being assessed today on the attached LIC 421FC, report signed, report and appeal rights provided to the Licensee.