complaint·June 25, 2025

Continued from LIC9099, dated 6/25/25.. The medication assistant staff didn't refill the medication as required. Resident R1 was not provided the medication as prescribed from 4/20/25 through 5/24/25, per medication MAR review. The medication was refilled/obtained, and resident was provided the medication as ordered on 5/25/25; R1 missed a total of "35" days of the prescribed medication order, per review of records and conducted interviews. Sufficient information has been obtained to support that a violation had occurred. Per review of records, including medication records, facility records, and interviews with staff and other parties, the allegation "staff are mismanaging resident's medication and not providing it to the resident as prescribed" is substantiated. This deficiency will be cited, 87465(a)(4) Incidental Medical and Dental Care, 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 Administrator James Homer. Appeal Rights provided to the Administrator.