Complaint Investigation Report

resident #2 (R2) and resident #3 (R3). Interviews of the staff present at the facility revealed that they dispense the medication as per physician orders. LPA Lacy made a few attempts to contact the night shift caregivers, but to no avail. A review of the medical administration records (MAR) conducted on 9/05/2023 at 11:30am revealed, that on 12/27/22 and 12/29/2022, R2's 10pm medications were not dispensed to the resident. R3 did not receive their 10pm medication on 12/29/2022.

Based on review of residents' MAR, there is sufficient information to conclude that staff did not distribute residents' medications as prescribed. Therefore, the allegation is SUBSTANTIATED at this time. Under Title 22, division 6, chapter 8 the following citation was issued and recorded on the LIC 9099D.

Exit interview conducted and a copy of the report was issued.