Complaint Investigation Report

Furthermore, LPA reviewed the Medication Administration Record (MAR) for the date in question and found no evidence of missed medications for the alleged date. LPA reviewed the Care Notes from January 1, 2025 through February 17, 2025, which also revealed no concerns. On one Care Note dated for January 30, 2025, the resident reported that the staff never responded to the residents room when pushing the call bell for medication. LPA reviewed the call bell log for the date in question and learned that the facility response time was eight (8) minutes. LPA conducted interviews and received inconsistent statements. LPA could not corroborate the allegation.

Complaint alleges that Facility staff did not assist resident with medication refill. Based on interviews that were conducted with staff and an outside witness, LPA could not prove or disprove the allegation occurred. Furthermore, during interviews, LPA received inconsistent statements. LPA learned that the medication did run out and that the facility staff contacted the Nurse Practitioner for a refill which was refilled and picked up at the local pharmacy by the Residential Care Coordinator. LPA could not corroborate the allegation.

A finding that the complaint allegations of Facility staff did not dispense medications as prescribed and Facility staff did not assist resident with medication refill s are unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator.