complaint·June 7, 2022

(Continued from 9099) The investigation revealed the following: Resident (R1) was administered the Over-the-Counter medication (topical lotion) by Licensee to relieve the resident's discomfort, however, upon review of the Medication List provided by both the Licensee and the hospice agency, this medication was not on the list of prescribed medications by the attending physician. Although Licensee thought they were acting in the interest of R1's comfort and request, there was no order for the Over-the-Counter medication. Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 8), are being cited on the attached LIC 9099D.