Complaint Investigation Report

1.Regarding the allegation: Staff did not administer medication as prescribed. It is alleged that the facility staff is not administering residents’ medication as prescribed by residents’ physicians. Three of three staff deny this allegation. Staff stated residents are administered the correct dosage of medications as prescribed by the residents’ physician orders. Staff stated medications are provided to residents within 10-15 minutes before and after meals as taken. Staff stated the medication cannot be altered to satisfy the residents’ requests. Changes in medication dosage need to be approved by the residents’ primary physician and/or the pain management physician. Three of four residents stated the staff administers the medications to residents on time and as prescribed. Based on records review and interviews, there is no evidence to corroborate the allegation.

2.Regarding the allegation: Staff did not provide an adequate amount of meals to a resident in care. It is alleged that the facility staff are not providing residents will adequate amount of food in the residents’ meals. Three of three staff deny this allegation. Staff stated each resident is served meals according to resident’s dietary plan, as per physician orders. Staff stated R1 was placed on a 48 -hour liquid diet by physician’s orders after treatment of R1’s health condition. The staff stated R1 argued with staff to provide a solid meal after becoming unsatisfied with the liquid diet ordered by R1’s physician. Three of four residents stated being served adequate food serving with their meals. Based on records review and interviews, there is no evidence to corroborate the allegation.

3. Regarding the allegation: Staff did not complete required training. It is alleged that the facility staff has not completed required training for caregivers and medication technician and are not trained to perform caregiver and medication administration duties. Three of three staff deny this allegation. According to staff records reviewed, the facility staff have all the required training and certificates of completion for their duties performed. Three of four residents could not corroborate the allegation. Residents are not aware of the training required by the facility staff. Based on records reviewed and interviews, there is no evidence to corroborate the allegation.

4.Regarding the allegation: Staff did not prevent medications from being inaccessible to residents in care . It is alleged that facility staff are not locking the medication cabinet and are not preventing medications from being inaccessible to the residents in care. Three of three staff deny this allegation. The staff stated that the medications are locked in a cabinet inside the staff office. The staff allowed to administer medications have access to the medication’s cabinet keys, only. Staff stated the residents are inaccessible to the locked staff office and are inaccessible to the locked medications cabinet. Three of four residents stated not being aware. Based on observations and interviews, there is no evidence to corroborate this allegation.