Staff interview revealed that residents who require medications while they are away from the facility are provided a prepared package of medication by the facility Med Techs and/or pharmacy. Staff interview revealed that there is a window of time in which medications can be provided to residents, both before and after the identified prescription time. When a medication-assisted resident leaves the facility, they may be given medications before they leave and/or upon return, maintaining the facility's compliance with medication administration mandates.

Records review revealed that the resident in question received all prescribed medications on the day in question. Reviewed records showed that while the timing of certain medications was adjusted, all medications were given to the resident within the timeframe allotted to maintain compliance for medication administration.

Resident interviews did not provide supporting evidence to any medication errors by Med Tech staff. Residents interviewed advised receiving their medications according to their prescription and consistently on time on a regular basis. No outside source interviews supported medication errors or delays by Med Tech staff. Outside source interviews advised that residents were receiving medications accurate to their prescriptions and at the correct time each day.

Regarding the allegation, "Facility charged resident for services not rendered", it was alleged that facility staff were not providing services agreed upon in a resident's Admission Agreement. Staff interview revealed that facility staff had made numerous and ongoing attempts to provide the required services to the resident in question, however, the resident regularly declined the services and assistance, which is a personal right. Staff interview showed that caregivers, Med Techs, and housekeeping staff made multiple attempts daily to assist the resident, to which the services were declined.

Residents interviewed advised that facility staff provide all services outlined in their Admission Agreements and that staff are helpful. No residents interviewed informed of having issues with caregiving assistance, medication services, housekeeping services, or any other service that the facility is responsible for providing. Outside source interview did not support the allegation that facility staff did not provide all agreed-upon services to residents in care. No interviewed outside sources advised being informed of, or directly observing, any facility staff neglecting or refusing to perform required duties.

(Continued on LIC9099-C)

Records review revealed 10 documented accounts from different facility staff describing situations where the resident in question refused housekeeping services, caregiving assistance, and medication administration during the timeframe of the complaint. Records review showed that the resident in question exhibited disruptive behaviors that prevented other residents from being able to fully participate in the activities that the facility provides, which is a service guaranteed to all residents in their Admission Agreements.

During two unannounced facility visits, LPA directly observed staff assisting residents with Activities of Daily Living (ADLs), medication administration, entertainment activities, and housekeeping services. LPA did not observe any resident being denied assistance and/or services when necessary or by request.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violations occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Jose Cardenas, Maintenance Director, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.