Complaint Investigation Report

Later that same morning, during routine medication rounds, R1 requested their medications again and became verbally aggressive to S1 by yelling and screaming, and due to the escalating behavior, S1 re-dispensed the same morning medications to R1.

During interview, R1 revealed S1 told them they had to take their medications again. R1 revealed they felt scared and intimidated, so they accepted the medications but did not ingest them. R1 acknowledged raising their voice but denied screaming at S1. LPA was unable to confirm whether the medications dispensed were the same medications due to the facility’s inability to retrieve the electronic records from a system that is no longer used. Interviews with residents revealed the following: five (5) residents received medications as prescribed and two (2) residents revealed they didn’t receive their medications. However, the administrator confirmed that S1 acknowledged dispensing the same medications twice to R1. S1 was not available for interview during licensing visits.

Based on the information obtained, there is enough information to verify the allegation. Therefore, the allegation is deemed SUBSTANTIATED at this time.

Exit interview conducted/Appeal rights/copy of report given.