complaint·November 24, 2025

Per interviews with staff, S2 stated there was no record of blood pressure readings or every single day and time the medications were provided to the resident. S2 stated they didn't track the blood pressure readings. The resident R1 has the blood pressure readings in their book. R1 didn't return to the facility after going to the hospital on 9/5/25 due to not feeling well. LPA discussed regulation information regarding medications, medication assistance, and maintaining medication records appropriately and accurately to reflect medications are being provided to the resident as required/needed. Ensuring compliance with Dr's Orders, and Dr's instructions, including records to show medication is being provided as required. Per investigation, facility failed to provide R1's medications per Physician orders as required. There was no record of blood pressure (BP) readings, no record of month/days, time, showing the medications were provided, and record of acceptable BP reading of R1. S2 stated they didn't track the blood pressure readings, staff would look at record of blood pressure readings from R1. Sufficient information obtained to support violations occurred regarding "staff are not following resident's medication Physician order as required." Allegation is Substantiated. This deficiency will be cited, 87465(a)(4) Incidental Medical and Dental Care- A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self administered medications as needed, see LIC9099D. The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited. Failure to correct deficiencies by due dates, may result in additional deficiency citations and/or civil penalties being assessed. Exit interview conducted with the Resident Care Coordinator, Karrie Hanna. Appeal Rights provided.