Complaint Investigation Report

During interviews with the residents, three (3) out of four (4) did not corroborate the allegation. One resident stated that they have never been locked out of the facility by the staff. Another resident stated also stated that they have never been locked out of the facility in the past. During interviews with the staff, none of them corroborated the allegation. One of the staff members stated that they were coordinating with the hospital social worker to determine if R1 required a higher level of care before admitting them back to the facility, however they did not lock them out of the facility. Another staff member also explained that they did not lock R1 out of the facility and had allowed her to return following their hospitalization. During the visit LPA confirmed R1 had returned to the facility and was present during the visit.

In regards to the allegation that " Staff are not dispensing medication as prescribed," it is alleged that the R1 was not obtaining their medication as prescribed. During interviews with the residents, none of the residents corroborated the allegation. One of the residents stated that they are obtaining their medications, however they need to make an appointment with their physician in order to obtain a prescription for one of their medications. Another resident interviewed stated that they have had no issues obtaining their medications. During interviews with the staff, none of them corroborated the allegation. One of the staff interviewed stated that R1 was recently hospitalized and was provided with new orders that superseded R1's existing orders because they interacted with each other, but they are dispensing R1's medication as prescribed. Another staff member also explained that they are administering the hospital medication orders to R1 and that R1 has an upcoming scheduled appointment with their physician to update their orders. The incident reports involving R1 confirm their recent hospitalization beginning on 5/23/2025.