complaint·February 19, 2026

Regarding the allegation: 1.) Staff are mismanaging residents’ medication. It was alleged that medication technician (med tech) staff did not assist residents with their medication on time and missed medications. During today’s visit, the LPAs conducted a review of resident medication and documentation with staff for three (3) residents. Resident #1 (R1’s) Noon Acetaminophen Extra 600MG tablet instructed for 1 tablet for every 6 hours had 20 tablets remaining. The medication started on 02/07/2026 with 30 tablets for the month and 17 tablets should have remained. R1’s Bedtime Acetaminophen Extra 600MG tablet also instructed for 1 tablet for every 6 hours had 17 tablets remaining. The medication started on 02/05/2026 with 30 tablets for the month and 16 tablets should have remained. The ED stated that she will review the facilities medication procedures and audit all resident medications. Based on observation and record review, the preponderance of evidence standard has been met, therefore the above allegation, “Staff did not assist resident with self-administration of medications as prescribed” is deemed Substantiated at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit (See 9099-D). Civil Penalty issued for the amount of $250. The ED was informed that failure to correct deficiency may result in additional civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.