complaint·March 1, 2023

Two (2) resident interviews on 01/24/2023 with LPA Ashley Morgan confirmed what R1 had stated regarding breakfast arriving late on 01/22/2023. Interviews with eleven (11) residents on 10/13/2022, 01/04/2023, 01/23/2023, and 02/22/2023 revealed that although the facility does provide meals, the food being served is not of best quantity and quality. Additionally, staff often forgets utensils and condiments that go with the meal, thus, delaying residents’ food. Additionally, when the food is delivered to the resident’s room, most of the time, the meals arrive late and cold. Although interviews with resident stated that the food service was decent on some days, the majority of resident interviews stated they are unhappy with food services as their food often arrives late, cold, has missing items or utensils and may not be edible at times. Based on interviews and observation, the allegation of staff is not providing adequate food service to residents is deemed substantiated at this time. A similar complaint was substantiated on 02/22/23. 1 citation was issued. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D). Exit interview conducted and a copy of the report and appeal right were issued to BOM. That same day, interview with the Resident Care Coordinator (RCC), starting at 12:43 p.m. revealed the medication training and process for all medication technicians at the facility. Additionally, the RCC added that a staff member approached them regarding R1’s PRN medication on 12/15/2021. RCC stated that after a while, the staff left the RCC’s office to give medication to R1. Interview with R1’s family member on 01/06/2022, starting at 3:07 p.m. confirmed what R1 stated as R1’s family member was present during the situation. Review of R1’s medical file on 03/01/2023 revealed that a clarification form was sent and signed on 06/18/2019, from Pacifica Senior Living Oxnard to R1’s Medical Doctor (MD) regarding the approval of the self-administration of medication, in addition, for R1 to take their own blood pressure and to inform staff if any medication is needed. A review of R1’s Medication Administration Record (MAR) revealed two (2) daily routine high blood pressure medications were self-administered on 12/15/2021, as well as a resident request PRN high blood pressure medication was self-administered that same day, at 4:43 p.m. Interviews with five (5) residents 02/22/2023 and 03/01/2023, revealed that residents have not had any problems with requesting additional medication if needed, they have not been refused medication and staff are tentative with their medication needs. Although R1 stated the staff member refused to give R1 additional blood pressure medication, R1’s MAR indicated that R1 received their daily routine blood pressure medication in a timely manner. Additionally, the MAR revealed that one (1) as needed blood pressure medication was requested and self-administer the same day based on MD orders. Based on interviews and record review, the allegation of staff did not assist with the self-administration of medication in a timely manner is deemed unsubstantiated at this time. A similar complaint was Unsubstantiated on 09/23/2022. Regarding staff did not help with the self-administration of resident's medication. Interview with Resident #1 (R1) on 01/03/2022, starting at 1:20 p.m. , revealed that R1 takes their own blood pressure daily based on MD orders. On 12/15/2021, blood pressure was higher than normal and requested additional medication. R1 stated they spoke to a staff member who refused to give R1 medication. R1 added that they eventually received help with the self-administration of medication. Review of R1’s MAR for the month of December 2021, revealed that R1 did received assistance with the self-administration of medication as prescribed by their MD. Additionally, R1 received help with the self-administration of 6 PRN medications for December 2021. Continued on LIC 9099 - C Interview with five (5) residents 02/22/2023 and 03/01/2023, revealed that some residents self-manage their own medication, while other resident obtain help with the self-administration of medication at the facility on a daily basis. Although R1 stated the staff member refused to give R1 additional blood pressure medication, R1’s MAR indicated that R1 received help with the self-administration of medication for the entire month of December 2021 based on MD orders. Based on interviews and record review, the allegation of staff did not help with the self-administration of medication is deemed unsubstantiated at this time. Exit interview conducted and copy of the report was issued to the BOM.