Complaint·September 30, 2024

Page 2 of 2. Staff over medicated resident. It was alleged that the facility staff were administering “as needed” (PRN) medication ever day to resident R1. On 11/15/2022, the Department conducted interviews with 2 staff (S1-S2) and ADM. Three out of three staff stated the facility staff administered medications as prescribed. ADM stated Hospice nurse audited R1’s medications and did not find anything. Based on review of R1’s medication list provided by hospice agency, R1 was administered 9 routine medications and 9 as needed (PRN) medications. Based on review of R1’s facility file, facility staff had retained physician’s orders provided by hospice physician on new medication orders effective on 10/18/2022 and 10/21/2022. Staff did not meet the needs of the resident. It was alleged that the facility staff did not provide assistance with ADLs. On 11/15/2022, the Department conducted interviews with 2 staff (S1-S2) and ADM. 3 Out of 3 staff stated the facility staff provided assistance with ADLs, which including taking R1 on walks, assisting R1 at night by cooking food when R1 requested and administering medications as prescribed by physician. Based on review of R1’s Preplacement Appraisal Information dated 10/14/2022 which was completed by R1’s Responsible Party, R1 had neurocognitive disorder and needed assistance with bathing, hair care, personal hygiene, medication, incidental health an medical care. This complaint was closed without investigation. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Licensee/Administrator, Carlo Basilio and a copy of the report was provided.