Complaint Investigation Report

Based on documents obtained and statements reviewed for April 2026, the department determined that there was insufficient evidence that any medication errors have occurred. Documents obtained show that all current medications were administered and logged correctly for residents per their doctor’s orders. Five staff interviews (5) indicated that staff were not aware of any medication errors. Based upon the information obtained during investigation, the above allegation is 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 violation occurred.

Staff controls the Resident Council meetings

Based on resident interviews, staff interviews, and information obtained during the Department’s investigation, there was insufficient evidence to support the allegation that staff controlled the resident council meetings. Although it was reported that staff appeared to have more involvement and control during resident council meetings several months ago, the process has since changed. The Ombudsman has attended resident council meetings, and residents are currently able to participate, make decisions, and discuss concerns independently without staff involvement for a portion of the meetings. The Department did not obtain sufficient evidence to support that staff are currently controlling resident council meetings. Therefore, this allegation is determined to be 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 violation occurred.

Exit Interview conducted. Report left with facility.