Incident investigation·December 20, 2023

Citations

3 citations recorded^*CCLD

• 87465(h)(2)Type A

  87465 (h)(2) Incidental Medical & Dental Care- Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidenced by: LPA's record reviews, and interviews, R1 had a prescription medication go out of the community with R2's medications who had moved out of the facility. R2's responsible party contacted the facility and returned R1's medication. The medication was not kept secured and inaccessible to all others that don't and/or shouldn't have access to the medications. This is an immediate risk to the health and safety of residents in care, and a risk to residents personal rights.

• 87468.2(A)(2)Type A

  87468.2(a)(2) Additional Personal Rights of Residents in Privately Operated Facilities- To have their records and personal information remain confidential and to approve their release, except as authorized by law. This requirement was not met as evidenced by: R1 had a prescription medication go out of the community with another resident's, R2, medications who had moved out of the facility. R1's identification, their medication pills, name and medication information, was not kept confidential as required. This is an immediate risk to residents health and safety, and to resident's personal rights.

• 87211(a)(1)Type B

  87211(a)(1) Reporting Requirements-A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below.This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case, This requirement was not met as evidenced by: LPA's investigation finding that a resident's (R1) medication had not been centrally stored as required, and had been sent out of the community with another resident's medications during the discharge of R2. This is a potential risk to residents personal rights.

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