Complaint Investigation Report

reports and other documents obtained from the facility.

During this visit at 1:45PM De Luna and LPA conducted a physical plan tour. Between 2:00PM – 3:30PM LPA conducted interviews with facility staff and nine (09) out of ninety-three (93) residents. LPA asked questions relevant to the nature of the complaint. At the time of investigation, R1 was no longer at the facility.

1.) Staff did not notify resident's responsible party of a change in condition.

It was alleged that R1’s health declined, and staff never told R1’s responsible party about changes in R1’s overall health condition. Interview of facility staff revealed that staff always monitor resident's health conditions and notify resident’s responsible party if changes were noted. A review of incident report reveal that on July 31, 2023, while R1 was at an overnight stay with family, it was noted that R1 had a change of mental and physical condition. Residents interview indicated that staff always call their responsible party when they are sick and go to the hospital.

Based on interviews and records review there is not sufficient information to support this allegation. Thus, this allegation is deemed to be UNSUBSTANTIATED at this time.

2.) Staff did not administer resident's medications as prescribed

It was alleged that Resident #1(R1) was not given medication as prescribed by physician.

Staff interviews reveal that medications are always dispensed to residents as per physician order and prescription. Staff indicated that R1 sometimes refused to take medications. A review of incident reports involving R1, revealed that that at times R1 was getting agitated and refused to eat, drink, and take medication. The report verified the information received from facility staff. A review of R1’s Medication Administration Record supported the information received from staff. Residents interview revealed that staff do administer medications as prescribed and on time.

Based on interviews and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.