Complaint Investigation Report

The LPA reviewed the facility’s menu for the 4th quarter of 2025 and 1st quarter of 2026; grocery invoices for two weeks in March and April 2026; the routine cleaning schedule; the client roster dated 1/27/2026; and the staff roster dated 1/27/2026. The LPA also conducted a tour of the facility inside and outside, including all seven (7) bedrooms, the storage area for personal hygiene items, and the linens storage area.

The investigation consisted of the following:

On 4/3/2026, the Department conducted interviews with staff members 1–4 (S1–S4) and clients 1–5 (C1–C5). The Department also reviewed the files for clients C1–C5 which appeared to be current. The LPA reviewed the facility’s menu for the 4th quarter of 2025 and 1st quarter of 2026; grocery invoices for two weeks in March and April 2026; the routine cleaning schedule; the client roster dated 1/27/2026; and the staff roster dated 1/27/2026. The LPA also conducted a tour of the facility inside and outside, including all seven (7) bedrooms, the storage area for personal hygiene items, and the linens storage area.

The investigation revealed the following:

Allegation 1: Staff is over medicating resident.

On 4/3/2026 at 10:24AM, The department conducted interviews with staff member 1-4 (S1-S4) and 4 out of 4 staff members stated that clients are not over medicated and all residents are given their medications are prescribed by their physicians.

At 2:10PM, LPA conducted interviews with clients 1-5 (C1-C5) and 5 out of 5 clients stated that they are not over medicated by staff members.

LPA reviewed the files for five (5) clients which revealed that their medications are being dispensed as prescribed by their physicians.