Complaint Investigation Report

The investigation revealed the following:

Allegation 1: Staff do not ensure medication cabinets remain locked at all times.

At 11:05 AM, LPA toured the facility and the medication storage area and LPA observed that the medications were locked in the kitchen area and the locks consisted of a combination lock and magnetic lock on the cabinet and locked storage medication boxes inside the cabinet. LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5, and 3 out of 5 stated that the medications are brought to them and not sure if the cabinet is locked or not.

LPA also conducted interviews with staff member 1-2 (S1-S2) and they were asked does all the staff ensure that the medication cabinets always remain locked and 2 out of 2 staff stated cabinets are always locked unless they are passing medications and no one has access to the kitchen area but the staff.

Allegation 2: Staff do not ensure residents medications are properly managed

LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5, and they stated that they believe that their medications are managed properly.

LPA conducted interviews with staff member 1-2 (S1-S2) and they were asked does all the staff ensure residents medications are properly managed and 2 out of 2 staff members stated the residents are managed properly and documentation is noted daily.

Allegation 3: Staff do not follow residents dietary care plans

LPA attempted to interview R1-R2 and they could not engage in a conversation. LPA did conduct interviews with R3-R5 and 3 out of 5 stated their dietary care plans are followed. During LPA visit LPA observed that the residents were being provided lunch based on their care plans and dietary needs.

LPA conducted interviews with staff member 1-2 (S1-S2) and 2 out of 2 staff members stated the staff does follow the residents’ dietary care plans .