Complaint Investigation Report

Allegation: Staff mishandled the residents' medications.

The complaint alleges that medication errors occurred and delays happened on 07/20/2025. On 08/20/2025, from 10:30 am to 1:45 pm, LPA Richard interviewed Administrator #1 (A1), who denied the allegation and stated that no medication errors or delays took place that day. The facility had a staff member call off, but the facility found a staff member to cover the shift. During the same time frame, LPA Richard also interviewed seven residents #1-7 (R1-R7), all of whom denied any medication delays or missed doses since they have been living here. Additionally, LPA interviewed four staff members #1-4 (S1-S4), all of whom denied the allegation. On 08/20/2025, LPA Richard reviewed medication records showing that all residents received their medications, and there were no discrepancies. LPA also reviewed the facility's Chat Note confirmed there were no medication errors or missing medications administered to any residents.

Based on the information collected from the facility inspection, interviews, and records reviewed, LPA found no evidence to support the above allegations. Although the allegations may be valid or have occurred, there is insufficient evidence to establish whether the alleged violations took place or did not. Therefore, the allegation is unsubstantiated.

An exit interview conducted. A copy of this report was provided to the Administrator Joe Niblett