Complaint Investigation Report

Regarding allegation: Medication is not given as prescribed. Regarding resident #1 receiving anti-psychotic medication, LPA Wesley visited the medication room and reviewed a list of medication for resident #1 and did not see any type of anti-psychotic medication for resident #1. LPA Wesley asked the Administrator, the Director of Health services and the LVN if they pressure the family, so they could give anti psychotic medication and they answered no. LPA Wesley asked the POA for resident #1 if the facility pressured him to issuing resident #1 anti-psychotic medication and he said no, the physician is the one who orders medication and sends it to the pharmacy/facility. LPA Wesley did observed that one of resident #1's medication was increased, but it was not a anti-psychotic medication. The Administrator said the residents are seen by the doctor(s) and evaluated, sometimes the doctor decreases medication and sometimes the medication is increased, depending on the situation. The LVN(Charge Nurse), said they refer to the Physician orders when filling and refilling the medication, it has nothing to do with family members.

Based on the interviews conducted with staff, residents, review of residents medical files and facility records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation(s) are UNSUBSTANTIATED.