Complaint Investigation Report

The investigation reveals the following: Regarding " Staff mishandling residents’ medication.", it is alleged that the facility staff provided residents with other resident’s medication. During the interview the Administrator denied the allegation. 7 out of 9 residents denied the allegation, stating that staff has never provided them with the wrong medications. 1 out of 9 residents stated that they were provided with extra medications but that was an error from the pharmacy. 1 out of 9 residents stated that they were provided with another resident’s medication, in the past. 1 out of 2 staff denied the allegation, stating they have not provided the wrong medications to residents. 1 out of 2 staff stated they do not work in the medication room.

The investigation reveals the following: Regarding " Staff did not administer medication(s) as prescribed.", it is alleged that the facility is administering the medications late. During the interview the Administrator denied the allegation, stating the facility provides the residents medication within the 1-hour window and has never administered the medications late. 9 out of 9 residents denied the allegation stating that staff has never provided them with late medications. 1 out of 2 staff stated the medications was administered on-time. 1 out of 2 staff stated they do not work in the medication room.

The investigation reveals the following: Regarding " Staff canceling residents doctors’ appointments due to short staffing.", it is alleged that the facility was canceling residents’ doctors’ appointments. During the interview the Administrator denied the allegation, stating the facility has never canceled the residents’ doctors’ appointments. 9 out of 9 residents denied the allegation stating that staff has never canceled their doctors’ appointments. 1 out of 2 staff stated they have never canceled the resident’s doctor’s appointment and leave pass downs to the other staff indicating residents’ doctors’ appointments. 1 out of 2 staff stated they do not handle residents’ doctors’ appointments.

Based on LPA's observation, interviews, and file review the investigation revealed: 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 allegations are UNSUBSTANTIATED.

Exit interview conducted with Administrator Crysel Santos and a copy of this record provided.