Complaint Investigation Report

On the allegation: Staff mishandled a resident's medications while in care

Based on record review and interviews, the facility never lost any of R1’s medications and never missed a dose. R1 had medications that they were taking at the Skilled Nursing Facility that were discontinued prior to moving in. R1 had a procedure on 5/13/25 and was prescribed additional medications at this time. R1 started to sign up with Primer which is a subscription for medications which conflicted with R1’s insurance that caused a delay in getting the prescribed medication. R1 changed pharmacies on 5/20/25 and on 5/21/25 picked up the medication without informing the facility. On 6/2/25 R1 was un-enrolled in the facilities medication management program and is handling their medications on their own.

Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED .