Complaint Investigation Report

Interview with C1 does not state that staff ever roughed up C1 but that C1 sometimes feels pain and thinks its staff causing needle-like sharp pain on their body. Based on interviews conducted, although the allegation may have happened or are 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 mismanaged resident's medication" it was alleged that facility staff withhold medication Mylanta from C1. (7) of (7) staff interviewed denied the allegation. (13) of (14) clients interviewed could not corroborate the allegation. Review of C1's file shows that Mylanta is a PRN medication that is to be taken twice a day as needed. LPA reviewed a note with FAX confirmation that the medication ran out on 2/8/22 and asked for a refill. The refill arrived at the time of the visit on 2/9/22 and LPA observed it. Interviews show that C1 requests this medication almost daily and staff will provide it to C1 which is how it ran out on 2/8/22. Staff requested a refill at a timely manner because C1 chooses to take the PRN medication. Based on observation, review of documents, and interviews conducted., although the allegation may have happened or are 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 spoke inappropriately to resident" it was alleged facility staff will say inappropriate and evil things to C1. (7) of (7) staff interviewed denied the allegation. (13) of (14) clients interviewed could not corroborate the allegation. Review of C1's file shows that C1 has a diagnosis and history of auditory hallucinations and paranoia. Interviews state that C1 tends to walk past staff and clients and believe they are saying bad things about C1 when really no one has said a thing to C1. C1 stated to hear the bad things in her head and that staff and clients of the facility could not be trusted. Based on interviews, files reviewed, and observations, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.