Complaint Investigation Report

Allegation: Staff injected resident with poison

During investigation, LPA confirmed with staff (S1,S2 & S3) that client (C1) refused taking C1 prescribed medications on starting in late September up until present date. Staff also confirmed with LPA that client's conservator was timely informed of C1's medication refusals. Staff stated they continued to provide crisis interventions/conference meetings with C1's responsible parties for resolution staff also stated that the county conservator is in search of a higher level of care for C1. LPA reviewed C1's medication administration records (MARs) dated 10/01/24 until 10/15/24 which showed staff properly attempted to administer and recorded C1's daily prescribed medications as ordered by C1 primary care physician. C1's Medication Notes shows that C1 has refused all medications for the period of 10/01/2024 to 10/15/2024 morning medications. LPA interviews with other clients (C2, C3) on 10/15/24 showed that staff assists clients with their prescribed medications daily.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that Staff injected resident with poison is unsubstantiated .

Exit interview conducted and a copy of this report provided.