Complaint Investigation Report

Interviews with residents revealed: One (1) out of eleven (11) residents stated that they requested medical records from the facility but have not received it. This resident stated that they wanted medical records regarding an injury that took place in the facility. The assistant administrator stated that there are no records of such injury and that the facility can only provide the records that they have on file. Ten (10) out of eleven (11) residents interviewed stated that they have not had any trouble receiving their medical records upon request and have not heard of any other residents having this issue. All others interviewed stated that they were not aware of this issue.

Regarding the allegation, " Resident was provided the wrong medication," all staff interviewed denied the allegation and stated that residents are only given medications prescribed by the resident's physician. One (1) out of eleven (11) residents interviewed stated that they were given the wrong medication, "Seroquel." A review of the resident's current physician's orders shows that medication "Seroquel" is not listed. A review of the resident's physician report reveals other medications are provided but "Seroquel" is not listed. Ten (10) out of eleven (11) residents interviewed stated that they have never been provided the wrong medication and have not heard of other residents with this issue. R1's physician stated that he has no information regarding this.

Regarding the allegation, " Staff refused to provide necessary medical treatment," it was alleged that staff refused to treat a resident's toe blister. All staff interviewed denied the allegation and stated that all resident's receive necessary medical treatment. Ten (10) out of eleven (11) residents stated that the facility provides necessary medical treatment, while one (1) out of eleven (11) residents interviewed stated that they did not receive proper treatment for their toe. Staff interviewed stated that home health was treating the resident's toe but the resident was not complying with home health's recommended treatment plan. The home health agency worker (HH1) interviewed stated that the resident had a callous wound that was treated by home health and it was healed prior to discontinuing the treatment. HH1 noted that the resident was non-compliant with treatment.

Based on interviews and records reviewed, it is determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted with the assistant administrator Cynthia Flores and copy of report was provided.