Complaint Investigation Report

Allegation: Staff withheld residents' medication, which resulted in their hospitalization.

The details of the complaint alleged that facility staff withheld resident’s medications, which resulted in their hospitalization.

During the records review, LPA Iniguez reviewed (R#1)’s Medication Administration Records-MAR from August 2024; LPA did not find discrepancies on the logs, and the facility documented every time (R#1) got their medications. In addition, LPA reviewed (R#2-R#4)’s Medication Administration Records-MAR from January to August 2024; LPA did not find discrepancies in the logs. Furthermore, LPA reviewed (R#1)’s hospitalization records dated 2/17/24 and 3/13/24; the medical records did not state that hospitalization was due to medication management but instead was another physical illness that (R#1) was diagnosed.

During an interview with the Administrator (A#1), she stated that residents are getting their medications as prescribed by their physician and that the facility has never withheld residents’ medications. Also, (A#1) stated that no resident missed their medicines due to staff negligence.

During interviews with residents (R#1-R#10), (10) out of (10) residents stated that they took prescribed medications and that they have never missed a dose due to staff negligence. Also, (10) out of (10) residents stated that the facility has never withheld their medications.