complaint·March 17, 2026

Continued from 9099..... LPA reviewed medication compliance which showed that one of the medications should be refrigerated once the pouch is opened and then used within two weeks. In addition, outside parties stated that none of the medications which the resident (R1) was receiving required constant refrigeration storage. Based on the information provided by outside sources the medication was not improperly stored. The reporting party also alleges that the facility ordered medications unnecessarily when there were ample supplies. The reporting party alleges that the facility mis-managed R1’s medications by storing them improperly, dispensing them incorrectly, and continuing to order medications unnecessarily when there were already ample supplies. Interviews with outside parties stated that the prescriptions were refilled per physicians orders. Title 22 Regulations do not allow for a facility to determine that a prescription should or should not be refilled. It is the responsibility of the prescribing physician. LPA Nakagawa received a medication release form that was signed by the facility representative and the responsible party. There were no discrepancies noted by either party at that time. LPA Nakagawa received pictures from the responsible party showing that they received three file boxes of medications from the facility. The facility also had pictures of medications released to the responsible party, but there was only one file box. In review of records from outside parties, there were many prescriptions ordered on auto-refill set up by the responsible party. Records reviewed by LPA also indicate there were multiple doctors prescribing medications. The facility is required to follow the orders of physicians and receives authorization through the pharmacy. LPA found that although there were many prescriptions ordered they were all under the order and authorization of the doctors and the pharmacy so there is no fault of the facility. The allegation that Staff mismanaged resident's medications is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is unsubstantiated.