Complaint Investigation Report

Interview with the administrator at 10:30 a.m. on 12/20/24 revealed R1 came from a rehab center. A social worker at the rehab center informed the administrator that R1 expressed they did not want to see V1. Therefore, the administrator instructed staff to ask R1 if they wanted to meet with V1 each time V1 came to the facility. Interview with R1 at 11:30 a.m. on 12/20/24 revealed they had no problem with V1. Interview with S1 at 10:15 a.m. on 12/20/24 confirmed they asked R1 if they wanted to meet with V1 and did not allow V1 in if R1 did not want to see V1. Interviews with two (02) out of three (03) other residents revealed they have no issues with visitation. Based on interviews, staff allowed residents to have visitors when they desired. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff does not allow resident to use the phone" it was alleged the facility phone was not available for R1 and may be in disrepair. LPA called the house phone at 9:50 a.m. on 12/20/24 and staff answered. The house phone was deemed operational. Interview with S1 revealed the house phone works fine, and residents use it often. Interview with R1 revealed they don’t know where their personal phone is, so they use the house phone. Two (02) out of three (03) other residents interviewed confirmed they use the house phone, and it works. Interview with the administrator revealed all residents are allowed to use the house telephone and that it is operational. LPA heard two (02) incoming calls on the house telephone during a visit on 01/03/25. Based on observations and interviews, the house telephone works and residents have no issue using it. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff did not follow medication administration procedures" it was alleged R1 did not receive some of their medications since refills were not picked up. Record review of R1’s medication list indicated that R1 was admitted to the facility on 08/12/24 with approximately a one month supply of medications. Interview with the administrator revealed R1 received all prescribed medications. Interview with S1 confirmed that they picked up R1’s medication refills each month from the pharmacy. Interviews with two (02) out of three (03) other residents revealed they received all medications without issues. Based on interviews and record review, the facility followed resident medication administration procedures. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Regarding the allegation "Staff did not provide resident with a copy of the admissions" it was alleged R1 did not receive a copy of their admission agreement. Interview with R1 revealed they never requested a copy of the admission agreement. Interview with the administrator revealed R1 signed their admission agreement along with their representative in August 2024.