Huntington Valley Healthcare Center

Review of Resident 1's Order Summary Report showed the following physician's orders:

- dated 12/19/24, for buspirone 5 mg three times a day for anxiety manifested by verbalization of feeling anxious, citalopram 30 mg one time a day for depression manifested by episodes of crying, and quetiapine fumarate 25 mg one tablet at bedtime for episodes of yelling outbursts leading to exhaustion; and

- dated1/12/25, for lorazepam 0.5 mg every twelve hours as needed for anxiety manifested by restlessness for fourteen days or until 1/26/25.

Review of Resident 1's Informed Consent - Psychoactive Medication showed an informed consent was obtained from the surrogate decision maker for the following medications:

- on 4/11/24, for the use of the buspirone 5 mg for anxiety manifested by verbalization of anxiety, citalopram 20 mg for depression manifested by verbalization of feeling sad, and lorazepam 0.5 mg every six hours as needed for verbalization of feeling anxious; and

- on 8/23/24, for the use of the Seroquel (quetiapine fumarate) 50 mg for psychosis manifested by inconsolable episodes of crying out.

However, there was no documentation of an informed consent obtained from Resident 1 or surrogate decision maker for the increase in the dosage of the citalopram and when the lorazepam medication order was renewed on 1/12/25.

055888

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055888 B.

Wing 01/31/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Huntington Valley Healthcare Center 8382 Newman Avenue Huntington Beach, CA 92647