complaint·June 18, 2021

Between 03/15/2021 – 05/17/2021, 8 residents were interviewed. 8 out of 8 residents stated they receive the same medications around the same time every day. 7 out of 8 residents stated either there have been no changes to their medications or staff informed them when there were changes to their medications. 1 out of 8 residents stated staff did not inform them of medication changes. On 05/21/2021, R1’s hospice nurse (H1) was interviewed. H1 stated R1 was notified of medication changes. H1 stated doctor’s order was given to the facility and changes were made the same day. Facility’s records were reviewed. Medication Administration Record (MAR) was reviewed for 8 residents for March 2021. 8 out of 8 residents’ MAR showed they were given their medications as directed on the MAR. A review of R1’s medical records showed the facility followed doctor’s orders the same day the order was received. The Department has investigated the above allegation. Based on interviews and records review, the Department has determined that the allegation was UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No deficiencies were cited during today’s visit. Exit interview was conducted with Alice Nghiem, Activities Director and Andy Anaya, Executive Director. This report was reviewed with Alice Nghiem, Activities Director, and Andy Anaya, Executive Director, and a copy of this report was left Alice Nghiem, Activities Director. The Department has conducted an investigation of the above allegation. Based on interviews conducted, the preponderance of evidence standard has been met. Therefore, the Department found the above allegation to be SUBSTANTIATED. A deficiency is being cited. See LIC 9099-D. Exit interview was conducted with Alice Nghiem, Activities Director and Andy Anaya, Executive Director. This report, LIC 9099-D, and Appeal rights were discussed with Alice Nghiem, Activities Director, and Andy Anaya, Executive Director, and a copy was provided to Alice Nghiem, Activities Director.