Complaint·August 3, 2021

On 06/24/2020, 3 residents were interviewed. 3 out of 3 residents denied being verbally abused by staff. Between 06/24/2020 and 04/14/2021, 5 staff were interviewed. 5 out of 5 staff denied being verbally abusive to residents. 5 out of 5 staff denied seeing other staff being abusive to residents. Based on interviews, the department has determined that the allegation was UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. This report was reviewed with Administrator and a copy of this report was provided. On 06/24/2020, 3 residents were interviewed. 3 out of 3 residents denied seeing their medications left on the bed or table. Between 06/24/2020 and 04/14/2021, 5 staff were interviewed. 5 out of 5 staff denied mismanaging medications. All 5 staff stated they ensure residents take their medication and no medication was left in the rooms. All 5 staff stated they initialed the medication administration record (MAR) when assist with medications. Any medication not administrated would be initialed with a circle around it. Based on reviews of 5 Medication List and Orders (MLOs) from physicians against the Medication Administration Records (MARs), 5 out 5 MLOs did not align with MARs. 5 out of 5 MARs had medications that were not on MLOs or MARS did not have medications that were prescribed on MLOs. Reviewing 5 MARs of residents from February 2020 to May 2020, it showed that only 1 out of 5 MARs had complete record. 4 out of 5 MARs showed that there were dates that were left blank without any indication of what happened to that medication or any doctor’s notes for discontinuation or put on hold. These MARs did not accurately match the doctors’ prescription. Former administrator (S6) was interviewed and per S6, only 2 staff (S6 & S7) were administering, recording, and preparing medications. However, S6 did not have proof of medication training record. Based on the record review, the preponderance of evidence standard has been met; therefore, the allegation is found to be SUBSTANTIATED, which means that the allegation did occur. Deficiencies were cited today per California Code of Regulations, Title 22, Division 6. See LIC 809-D. A copy of this report and appeal rights were given and reviewed with Administrator.