Complaint Investigation Report

(14) of (15) Clients interviewed could not corroborate the allegation. Interviews do not show that clients are urinating in the hallways or stairways of the facility. Staff interviewed denied any knowledge of clients urinating in the stairways. No interviews provided LPA's with names or witness accounts of clients urinating in the stairways of the facility. LPA's did not observe urine on the walls or the stairways of the facility during the visit. Based on the interviews conducted and observations, there was not enough supportive evidence to concur with the reported 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.

In regards to the allegation "Staff did not ensure medication was correctly dispensed as prescribed to client in care" it was alleged that the facility staff could identify a white powder on C1's medication. (5) of (5) Staff interviewed denied the allegation. (14) of (15) Clients interviewed could not corroborate the allegation. Interviews show that medications are popped out of the their tabs and put in a plastic cup daily for all clients in the facility. All the cups are new daily and none are reused. Interviews state that when some medication are popped out, due to the texture of the pills, small scratches or scapes cause them to flake or appear like dust. Staff denied ever placing any unknown substances in the clients medications. AM, Noon, and PM medications are popped out appropriately and provided to residents at their prescribed times. LPA did not observe medication error notes on file and C1 stated they took their medications normally. Based on the interviews conducted, file review, and observations, there was not enough supportive evidence to concur with the reported 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.

Exit interview conducted and a copy of this report was provided.