complaint·April 15, 2022

Between 9/10/2020 and 9/11/2020, six residents were interviewed. 5 out of 6 stated that they are receiving their medications on time and are given their medications as prescribed. 1 out of 6 stated that she does not take medications. The Medication Administration Record (MAR) for June 2020 was reviewed for 9 residents. 8 out of 9 residents received their medications on time as indicated on the MAR. 1 out of 9 residents was given the medication later than what was input into the MAR but was still given the medication the same day. The Medication Delivery Log was also reviewed for June 2020. 1 resident did not receive the new medications on the same day. The new medications were picked up before 2 pm the same day but was not inputted into the MAR and given to the resident until the next day, causing a 24-hour delay in the resident receiving antibiotics in a timely manner. However, 1 staff confirmed that it is not a requirement that antibiotics be started right away, but it is taught during training as a best practice. The faculty’s medication management policies were reviewed and there was nothing noted on when the medications will be administered upon receipt/delivery. Title 22 does not address the timeframe of when new medications needs to start or be given; however, the facility must follow the doctor’s order. The review of the doctor’s order for the medication mentioned above did not note that the medication needs to be started immediately. This Department has investigated the above allegation. Based on interviews and record reviews, the Department has determined that the allegation is 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 Robert Alverado, Interim Executive Director, and a copy of this report was provided. Report was signed by Business Operation Manager, Christine Montelaro with approval of and on behalf of Robert Alverado, Interim Executive Director.