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Inspection visit

Complaint

CADENCE MILLBRAELicense 4156010391 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 11/08/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannonced complaint investigation visit in order to deliver findings regarding the received allegation. LPA met with Joan Newman and explained the purpose of today's visit. During the investigation, LPA conducted interviews and reviewed pertinent documentation. It was discovered that the facility did not provide a medication to a resident that is prescribed. The medication was stopped being given to the resident without an order on file from the physician. The medication was stopped around February 18, 2024 through April 7, 2024. It was started again after the discovery of it not being given, but then again was stopped around April 27, 2024 thorugh August 17, 2024. The prescription for the medication was not discontinued by the physician at any point. The dosage was decreased per records reviewed, and per interviews, this may have also caused issues with the facility maintaining the medication on their medication records. The medication was not given although it was prescribed by the physician due to facility error. This allegation is substantiated. Based on LPA interviews and items letters received, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC9099D.

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.

  • 87465(c)(2)Type A

    Give PRN medication by physician order

    87465(c)(2) Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This regulation has not been met as evidenced by: Based on interviews and documentation reviewed, LPA discovered that the medication was prescribed for the duration of 2024 but was stopped on two spans of time from 2/18/24 through 04/07/24 and 04/27/24 through 08/17/24 without documentation on file from the physician of the resident to discontinue.

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FAQ · About this visit

Common questions about this visit

What happened during the November 8, 2024 inspection of CADENCE MILLBRAE?

This was a complaint inspection of CADENCE MILLBRAE on November 8, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to CADENCE MILLBRAE on November 8, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465(c)(2) Incidental Medical and Dental Care (c) If the resident's physician has stated in writing that the resident i..."

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.

SourceView on CCLDView original report

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