Complaint Investigation Report

Seven (7) of seven (7) residents interviewed could not corroborate this allegation. Records reviewed indicate W1 was cleared by Department of Justice. W1 required an exemption to continue their employment at the facility. W1 was associated with the facility from April 2024 to December 2024. Nothing to indicate that W1 was not cleared. Association ended on 12/26/24. Based on interviews and records reviewed, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation: Staff are mismanaging resident's medications. It is alleged that staff are mismanaging residents medications. Seven (7) of seven (7) staff interviewed deny this allegation. Four (4) of seven (7) staff interviewed stated that medication administration protocols are followed for each resident and for each medication that is given to the resident. Observations were made during the administration of medications, and all protocols were followed according to the medication guide printout. Seven (7) of seven (7) residents interviewed could not corroborate the allegation. All residents stated they receive their medications without any issues. Based on interviews and records reviewed, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation: Staff do not ensure residents are provided quality food. It is alleged that staff are not providing quality food for the residents. Seven of seven staff interviewed deny this allegation. According to staff quality food is delivered and prepared for the residents. Food options are offered to residents not wanting to eat posted meals. Fresh produce is offered daily. Meals are prepared in accordance with residents’ meal plans. Six (6) of seven (7) residents interviewed liked the food offered. Four (4) of seven (7) residents interviewed stated that extra food options are available. Based on interviews observations and records reviewed, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation: Staff do not meet training requirements. It is alleged that staff do not meet the training requirements. Seven (7) of seven (7) staff interviewed deny this allegation. According to the staff, all new hires are provided with two weeks’ training before working on the floor with residents, and medication technicians may receive additional training's. Seven (7) of seven (7) residents interviewed could not corroborate the allegation. Residents are not aware of the training requirements of the staff. Based on interviews, records review. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Finding will be delivered to Licensee mailing address, via USPS for signature.