Complaint Investigation Report

Allegation: Facility staff dispensed medications not prescribed to resident

On 9/11/2023 LPA Shirley reviewed facility files. During file review, LPA reviewed resident’s medication records and actual medication and did not find any discrepancies. All required medications on the list are accounted for as given as prescribed.

On 9/11/23 LPA Shirley interviewed residents 1 – resident 8 (R1-R8). LPA asked have you ever been given the wrong medication and all eight clients interviewed stated that they have not to their knowledge. On 9/11/23 LPA Shirley interviewed staff 1 - staff 8 (S1-S8). LPA asked staff if any resident reported that they received the wrong medication and all staff interviewed stated that no resident had reported to them that they received the wrong medication.

Based on interviews and records review there is insufficient evidence to support the allegation: Facility staff dispensed medications not prescribed to resident. 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 allegations are Unsubstantiated .

Allegation: Facility staff did not allow resident to have private visits with family

On 9/11/23 LPA reviewed facility visitors list. During review, LPA noted that between the periods of 10/11/22 and 9/11/23, resident’s daughters visited over 30 times. This number does not include the number of visits from, “family” written on visitors list. On 9/4/23, Labor Day, S1 stated that the facility had an outbreak of covid-19 and visitors were given a choice to visit or not but must wear PPE.