Complaint Investigation Report

They set up fly traps to prevent them from getting into the foods. Staff stated they clean the counters before and after preparation of meals. During the visit today, LPA toured the kitchen. The kitchen appeared sanitized, and the cook was preparing lunch. The foods were covered and properly refrigerated. There were no roaches or other bugs observed in the kitchen to contaminate the foods. The perishables and non-perishable items have not expired. 13 out of 14 clients interviewed stated they do not feel the foods have been contaminated and have not seen any bugs in their foods.

Allegation – Staff do not distribute medications as prescribed. It is alleged that medications are missing and not distributed as prescribed. Per staff interviewed, the residents are taking their medications as prescribed. They come to the med room for their medications, and most clients are compliant. If they do not show, the staff will call their names via intercom or will go to their rooms to remind them. They document the medications in the back of the medication log when they are not in the facility or when they refuse. They request for refills a few days prior to medications running out. LPA reviewed medications for 14 Clients. Those are being administered as prescribed and indicated on the MAR logs. Refills have been obtained timely. Staff also documented when clients refused their meds or not in the facility. 12 out of 14 clients stated staff have given their medications daily and on time. One of the clients indicated staff did not obtain refills on timely so the medications were missed which occurred a few months ago, while another stated staff did not distribute the medication at the time indicated on the label.

Allegation – Staff do not maintain facility in good repair. It is alleged the intercom is on a loud system and can be heard outside even at night. Also, light bulbs need to be replaced throughout the facility. Staff interviewed stated when a client reports some thing in disrepair, they will inform the maintenance staff right away. They stated sometimes clients turn off the switch to the lights in the hallways and nothing is wrong with them. However, if it is determined the light bulbs need to be replaced, the maintenance staff will do as soon as possible. LPA toured the facility today. The intercom system was set at a level which is not too loud or soft. LPA did not observe any lights that need replacement. 12 out of 14 clients stated the intercom speakers are not loud and the lights in the hallways are working.