Complaint Investigation Report

The investigation revealed the following:

Regarding the allegation: Staff did not dispense medications to resident as prescribed . It is alleged that the staff did not dispense and administer medications to resident#1 (R1) as prescribed. Seven (7) of seven (7) staff interviewed denied this allegation. Staff interviewed stated they dispensed and administered R1’s medication as listed on the prescribed physicians’ orders received. The medications not transferred from R1’s previous pharmacy were communicated to R1’s physician on 04/01/25 and the facility pharmacy was awaiting insurance approval for the medication. Staff stated they communicated the medication and pharmacy issue to R1 and their POA’s to help resolve. Seven (7) of eight (8) residents interviewed could not corroborate this. According to the records reviewed medication list received dated 4/01/25 listed fourteen (14) medications, Nine (9) medications with four (4) PRN’s and one (1) medication on hold. Staff awaited approval from R1’s insurance for the remainder. R1 moved to the facility on 04/01/25 and was admitted to the hospital on 4/15/25. Records show R1 was administered medications dosage correctly from the MARs log dated 04/01/25 to 04/15/25, staff dispensed and R1 was administered their medication as prescribed. Based on LPAs records reviewed and interviews which were conducted. 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 allegation is unsubstantiated.

Regarding the allegation: Staff did not provide resident’s representative with requested records in a timely manner. It is alleged that the staff did not provide resident #1(R1) representatives with requested medication records in a timely manner. Seven (7) of seven (7) staff interviewed denied the allegation. Seven (7) of eight (8) residents could not corroborate this allegation. According to staff interviewed, records request is handled by the resident service director and administrator. R1’s POA request for records was communicated to the administrator and request for medication records was provided to R1’s POA within five (5) days. Request for records was made on 4/18/25 and records were provided to R1’s POA on 4/23/25 by the staff at Atria. Based on LPAs records reviewed and interviews which were conducted. 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 allegation is unsubstantiated.