Complaint Investigation Report

Regarding the allegation : A client had access to medication resulting in hospitalization. It’s alleged facility staff did not contact the authorized representative regarding an incident that caused harm to a client. The three (C1, C2, C4) clients confirmed this did not occur. C3 was unavailable. Five (S1-S5) staff members confirmed this did not occur at the facility.

Regarding the allegation : Staff does not ensure a client is administered medications. Its alleged staff have informed a client they do not need their medication and they can refuse their medication. Three clients (C1, C2, C4) stated staff have never made these statements. A client confirmed they refused to take a medication due to the side effects but their doctor and family members are aware of their choice. C3 was unavailable. Five (S1-S5) staff members denied the allegation. LPA viewed four clients’ medication logs and observed medications were given to three clients (C2-C4). A review of a client’s (C1) medication logs revealed they refused their medication on 3/06/2025.

Regarding the allegation : Staff do not allow client’s visitations. It’s alleged clients cannot have visitors at the facility. Three clients (C1, C2, C4) stated they have family members visit all the time. C3 was unavailable. Five (S1-S5) staff members denied the allegation.

Regarding the allegation: Staff does not safeguard resident's personal belongings. It’s alleged staff have taken a client to a pawn shop to pawn their personal items. Three clients (C1, C2, C4) stated this has never occurred. C3 was unavailable. Five (S1-S5) staff members denied the allegation.

Based upon interviews and review of the clients’ records, the allegations are unsubstantiated .

Exit interview conducted and a copy of the report was given.