Complaint Investigation Report

The investigation revealed the following:

Regarding the allegation “Staff are mismanaging resident's medication,” that clients are not sure if staff will refill their medication and staff do not provide clients with their pain medication. The investigation revealed that there are no discrepancies with the medication administration. Record reviews of Medical Administration Record and observation of medicine containers demonstrates that there are no discrepancies in medication administration. Interviews conducted indicated the following: 6 out 7 client interviews showed that clients are satisfied with the medication administration.

Regarding the allegation “Staff are not providing resident with transportation to appointments,” that facility does not assist with transportation, or have staff members accompany clients to their appointments. The investigation revealed that the facility does assist with transportation and if necessary, staff accompanies clients to their appointments. LPA observed a facility van and facility pick up and drop off location. Record reviews of Driver Weekly Vehicle Inspection reports for the month of February 2024 indicated that facility transports clients to their appointments and bank as well as stays with them throughout their outing. Interviews conducted indicate the following: 4 out of 5 employee interviews indicated that there is a facility van, facility provides transportation, and a staff member stays with the client if necessary, and 6 out of 7 client interviews indicated that facility provides transportation.

Regarding the allegation “Staff are not meeting resident's needs,” that staff are not allowing residents to eat in their room. The investigation revealed that the facility does allows clients to eat in their rooms if they are sick or unable to go to the dinning hall. Interviews conducted indicated the following: 5 out of 7 client interviews indicated that clients can eat in their bedrooms if they are sick, and 5 out 5 staff interviews indicated that clients are able to eat in their bedrooms if clients are sick or unable to go to the dinning hall.