Complaint·January 28, 2025

Continued from LIC9099... R1's PRN medication, medication order #2, is to be provided as needed at "bedtime".This medication was prescribed for psychosis, agitation, and anxiety as needed at bedtime on 12/6/2023, per Doctor's Order. On 10/1/24, the Doctor prescribed the medication order as needed in the evening for psychosis, agitation, and anxiety only. In review of PRN records, "PRN Given Report", the medication has been provided outside of "bedtime" hours, listed were some of the following hours observed, 9:51am, 1:13am, 2:03am, and 12:42am. LPA also observed that some of the entries listed this medication being provided to R1 for sleep and insomnia, which it is not prescribed for, per Doctor's Order. Facility policy states that medication refills are to be ordered seven days prior to running out. R1's care plan states that Representative is to be notified when medications need to be filled, minimum of two weeks advance notice to R1's Representative. This was not done regarding medication order #1. There is sufficient information obtained to support that a violation has occurred regarding the reported allegation of "medications are not provided to the resident as prescribed". 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. Civil Penalty assessed at $250 for repeat violation within 12 months, see LIC421FC. 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 Administrator Maria Cortes. Appeal Rights Provided.