Complaint Investigation Report

Regarding allegation: Staff is mismanaging resident's medications. It was alleged that resident provided with wrong medications and too many medications.

Interviewed staff denied the allegation and stated that R1 didn’t complains about mismanaging their medications. They stated that staff didn’t provide wrong medications and / or too many medications to R1 or other residents. Interviewed staff stated that all medications are administrated as prescribed and are noted electronically through a "Quick MAR" program. All residents’ medications are registered under the "Quick MAR" program and administered on a consistent schedule. Staff said that there are occasions in which residents refuse their medications. When residents refuse medication, staff document refusals also. LPA toured the medication room, observed medication dispensing and documentation practices. Staff demonstrated to LPA how is worked "Quick MAR" program. LPA reviewed a random sample of 5 resident medications (including R1's) and observed medications to be documented properly and given as prescribed. No concerns were observed. 13 out of 14 residents interviewed indicated that they receive their medications as prescribed and don’t have any concerns about this matter. Interviewed R1 did not answer LPA’s question about their medications and told LPA to ask staff.

Regarding allegation: Staff does not ensure resident's medical needs are being met. It was alleged that R1 has a health concerns and eye pain and has seen the doctor once in 8 months regarding health concerns. Wants to see specialist for eye examination.

Staff interviewed revealed that some residents are independent and prefer to handle their own medical appointments or get help from family members. They stated that R1 is self representative and prefer family member to schedule their appointments. However, there is an in-house doctors and specialists who visit the residents on a monthly basis and as needed and the facility provides transportation for residents who need to see doctors, specialists outside of the facility. R1 often refused to be seen by in house doctor. Interviewed staff was not aware that R1 has a pain and want to see the specialist. Interviewed Administrator stated that they will follow up with R1 and R1’s family member to schedule appointment for R1 if needed. 13 out of 14 residents indicated that there are in house doctors that came to the facility for any medical needs that they may have. Those who are independent and handle their own medical appointments stated that the facility provides them the transportation needed to visit with their doctor. R1 stated that they don’t like in house doctors and their family member is scheduling R1’s doctor’s appointments.