Complaint Investigation Report

Staff did not provide resident medication as requested.

LPA reviewed a sample of two dates from R1’s Medication Notes, and Progress Notes before around the alleged time frame that R1’s medication was mishandled during December 2024. R1 is prescribed Milk of Magnesia (PRN) for nighttime. On 12/18/24, the Medication Sheet revealed that S11 administered PRN at 03:24 AM; progress notes revealed that PRN was requested by R1 at 9:00 PM but not administer by S8 which is noted on the Medication Sheet. On 12/19/24, S12 administered PRN at 08:53 PM and noted that R1 requested PRN again at 11:00 PM. Records do not reflect that there was any medication administered in error, and R1 was administered his/her prescribed Metamucil for the entire month of December as prescribed except when R1 refused on 12/18/2024. R1 and W1 could not identify specific PRNs and/or prescribed medications that weren’t administered when requested according to the physician’s orders.

Based on LPA’s observations, interviews and records reviewed, the preponderance of evidence standard has not been met; therefore, the above allegation is UNSUBSTANTIATED .

Exit interview conducted and a copy of this report provided.