Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff did not provide medication assistance in a timely manner to resident in care. It is being alleged that there have been times where staff does not administer residents’ medication as prescribed.

On 01/10/25, between 8:55 AM – 10:30 AM, LPA Gonzalez conducted interviews with S1-S8. Based on interviews conducted, 6 out of 8 staff interviewed denied the allegation. 6 out of 8 staff interviewed communicated that resident’s medication is administered on time and as prescribed by the physician.

On 01/10/25, between 10:45 AM – 1:50 PM, LPA Gonzalez conducted interviews with R1-R5. On 02/28/25, between 2:00 PM – 3:445 PM, LPA Gonzalez conducted interviews with R6-R10. Based on interviews conducted, 6 out of 10 residents communicated that staff administers their medications on time and as prescribed by their physician. While 4 out of 10 residents communicated that they don’t know if staff administers other residents’ medication as prescribed, because they administer their own medication. 10 out of 10 residents interviewed stated they are satisfied with the services that are being provided to them.

LPA Gonzalez conducted a record review of the MARs dated: 01/01/25 – 01/31/25 and did not observe any discrepancies or mismanaging of residents’ medication.

Based on observation, interviews conducted, and a review of records, the department did not find sufficient evidence to support the allegation. 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 allegation is unsubstantiated.

A llegation: Staff did not ensure resident's room was kept clean. It is being alleged that a resident’s room, kitchen, and bathroom, was not clean.

On 01/10/25, between 8:55 AM – 10:30 AM, LPA Gonzalez conducted interviews with S1-S8. Based on interviews conducted, 8 out of 8 staff interviewed denied the allegation. 6 out of 8 staff communicated that the residents’ rooms are cleaned once a week and as needed. S1 stated that housekeeping staff deep cleans the residents’ rooms once a week, and when needed.