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13 | Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility to deliver findings on the above allegations. LPA was greeted and granted entry into the facility by Administrator Patty Osuna and explained the reason for the visit. Care Coordinator Alexis Jones was present as well.
During the investigation, LPA toured the facility, reviewed and obtained pertinent documentation such as medication administration records and hospital paperwork as well as interviewed staff and witness. Regarding the allegations that staff gave resident discontinued medication and staff refused to order resident's medication, the investigation revealed the following: R1 was hospitalized on 10/20/2021 for psychiatric evaluation and returned to the facility on 11/01/2021 with new medication orders. Per interviews with witness and facility staff, facility contacted the pharmacy with revised orders by fax on 11/01/2021 when resident returned. Facility provided proof of fax to LPA. Resident was sent back out to the hospital on 11/03/2021 and has not returned to the facility to date. Witness indicates an antibiotic medication for a dental infection was not filled by the facility however in interviews, CONT ON LIC 9099C DATED 04/14/2022 |