Complaint Investigation Report

Staff is not administering medications as prescribed. It was alleged that a resident did not get morning medications until 10:30 A.M.-10:45 A.M. some days. Staff interviews revealed that medications are administered as prescribed and are provided to residents timely and on a routine basis. Interviewed staff indicated that R-1 is independent and will go out in the community without informing staff and will return to request their medication. Interviewed staff indicated they have not received any complaints regarding this matter. Resident interviews revealed that they receive their medication in a timely manner. Interviewed residents indicated they do not have any concerns regarding this matter. Interviews do not corroborate this allegation.

Staff is not obtaining medication refills timely. It was alleged that the facility staff does not obtain the resident’s medication refill on time and is asked to contact the pharmacist or doctor to obtain the refill for them. Staff interviews revealed that staff are responsible for requesting residents’ refills through the pharmacy and/or physicians. Interviewed staff indicated that R-1 has prescribed medications for pain management (as needed) in which R-1 contacts their physician directly for refills (per R-1’s choice). Per staff interviews, staff handle R-1’s other medication refills and at times assist R-1 with their pain management medication refill. Interviewed staff indicated they have not received any complaints regarding this matter. Resident interviews revealed that staff obtain their medication refills in a timely manner. Interviewed residents indicated that staff are responsible for requesting refills through the pharmacy and/or making contact with the prescribing physician. Interviewed residents indicated they do not have any concerns regarding this matter. Interviews and reviewed documentation do not corroborate this allegation.

Staff did not respond to resident's call button for assistance. It was alleged that staff do not respond to residents’ call buttons/pendants in a timely manner. Staff interviews revealed that staff respond to residents’ call button for assistance in a timely manner (not wait until the end of their shift to respond). Interviewed staff indicated that rounds are also conducted routinely. Staff interviews indicated they have not received any complaints regarding this matter. Resident interviews revealed that staff respond to their call buttons/pendant in a timely manner. Interviewed residents indicated they do not have any concerns regarding this matter. Interviews and reviewed documentation do not corroborate this allegation.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted, appeal rights and a copy of this report was provided to Jennifer Lan.