Hacienda de Luna Assisted Living LLC.

“Based on record review and interview, the manager failed to ensure a medication administered to a resident was administered in compliance with a medication order, for one of two sampled residents. Findings include: 1. A review of R2's medical record revealed a service plan, dated July 26, 2024, for personal care services including medication administration. 2. A review of R2's medical record revealed a list of medication orders, dated July 24, 2024, which included the following: - "Losartan Potassium, 1 Tablet Oral 1 times a day for hypertension (100 MG tablet), Give one tablet by mouth daily for high blood pressure. Hold if SBP is less than 100." 3. A review of R2's medical record revealed an electronic Medication Administration Record (eMAR) dated November 2024. The eMAR documented the following: - "Losartan 100 MG, take 1 tablet by mouth once daily for hypertension," had been administered to R2 on each day between November 1, 2024 and November 5, 2024. However, documentation of R2's systolic blood pressure prior to each administered dose was not available for review. 4. In an interview, E1 and E2 acknowledged R2's Losartan had not been administered in compliance with the available medication order.”

“Based on observation and interview, the manager failed to ensure the hot water temperature was maintained between 95 \'b0F and 120 \'b0F in areas of the assisted living facility used by residents. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed the water temperature measured at 131.6\'b0 F in a resident's private bathroom. 2. In an interview, E1 and E2 acknowledged the hot water temperatures had not been maintained between 95 \'b0F and 120 \'b0F in an area of the assisted living facility used by residents.”