Complaint Investigation Report

The investigation revealed the following:

Regarding the allegation “Staff do not secure residents medications”, it is being alleged that staff do not secure medications (for example, medications refused by residents or not consumed by residents) where it is not accessible to residents in care. Interviews conducted revealed the following: 4 out of 4 resident interviews were inconclusive. 2 out 4 witnesses agreed with the allegation. 3 out of 5 staff who work on the Third Floor denied with the allegation. Observations revealed the following: On 12/17/2025, the department toured the Third Floor and did not observe medications. On 1/6/2025, the department toured the Third Floor and did not observe medications. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

An exit interview was conducted, and a copy of this report was left with the Executive Director.