Complaint Investigation Report

Investigation revealed the following: Regarding allegation, Facility staff did not administer resident medication as prescribed, it is alleged that facility staff are not providing R1 with their prescribed medications, Ivermectin and Permethrin cream as prescribed and that in March 2024, staff inaccurately provided R1 with Papyrus medication (Phos10) as they only administered 3 pills daily instead of providing 9 pills as prescribed (3 per meal). Interview conducted with Administrator Jennifer Lan revealed that facility staff only give residents the medication that is prescribed to each individual resident. Interviews conducted with S1-4 revealed that only prescribed medications are given to residents. S1-4 stated that once medications are given to residents they then initial each resident's MAR. LPA researched medication, Papyrus medication (Phos10), and LPA research did not reveal a medication with that name. LPA also did not observe medication Papyrus medication (Phos10) listed on R1's MAR. Interviews conducted with 8 residents revealed that they are satisfied with their medication management and do not have any concerns, they are given their medications on a timely manner by staff and as prescribed. LPA reviewed R1-8 MARs and did not observe anything that is of concern. LPA's observations of facility medication room did not reveal anything of concern. 8 out of 8 residents stated that they are satisfied with the services that they receive at the facility and stated that facility staff treat them with respect at all times. Based on LPA observations, LPA review of documents and statements gathered from interviews conducted with staff and residents there was not enough supportive evidence to concur with the reported allegation.

For allegation, Facility staff did not maintain accurate records for resident, it is alleged that R1's Medication Administration Records (MARs), are not accurately maintained which revealed that the staff were not administering the medications as prescribed. Interview conducted with Administrator Jennifer Lan revealed that facility staff only give residents the medication that is prescribed to each individual resident and once medication is administered the individual MARs is completed for each resident. Interviews conducted with S1-4 revealed that only prescribed medications are given to residents. S1-4 stated that once medications are given to residents they then initial each resident's MAR. Interviews conducted with 8 residents revealed that they are satisfied with their medication management and do not have any concerns, they are given their medications on a timely manner by staff and as prescribed. LPA reviewed R1-8 MARs and did not observe anything that is of concern. LPA's observations of facility medication room did not reveal anything of concern. 8 out of 8 residents stated that they are satisfied with the services that they receive at the facility and stated that facility staff treat them with respect at all times. Based on LPA observations, LPA review of documents and statements gathered from interviews conducted with staff and residents there was not enough supportive evidence to concur with the reported allegation.