Complaint Investigation Report

medications. Notes from the RP, clinical notes, and the MAR from the facility indicated R1 refused medication on several occasions. Facility would sometimes contact R1's responsible party to persuade R1 to take medications. Clinical notes dated 3/4/2023 indicated comfort meds were received for R1. Further clinical notes dated 3/11/2023 indicated the facility had not received signed orders for medication; however, on 3/15/2023, the facility received the updated medication list, changes were noted, and profiled was updated. R1 no longer resides at facility. Based on the investigation the above allegations are unsubstantiated.

Allegation: Resident’s bathroom fan is in disrepair.

During interview RP stated there were multiple bathroom fans in disrepair for two (2) months. LPA did not observe a work order for a bathroom fan. LPA toured apartment where R1 resided and two (2) additional apartments and did not observe fans in any of the bathrooms.

Allegation: Staff mishandling residents medication.

RP stated during interview that R1 had found a pill on the floor. During interviews and records reviews LPA was not told or did not observe where medication was found by staff or any other person. LPA obtained medication management training records for the licensed nurses, CNAs and Med Techs dated 3/10/2023 to 3/14/2023.

Based upon the information obtained during investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

Exit interview conducted and a copy of report was given .