Complaint Investigation Report

It was reported that staff do not follow COVID protocol as it was alleged that doors were left open for residents who had tested positive for COVID-19. Interviews with ten (10) residents, seven (7) staff and three (3) private caregivers revealed that each have never observed doors left open for any resident when there was a COVID-19 outbreak in the community. All persons interviewed did not express any immediate or potential concerns for any staff to not follow COVID-19 protocols. Based on information gathered during the investigation , the department does not have sufficient evidence to determine the above allegation occurred. Therefore the allegation that staff do not follow COVID protocol has been deemed Unsubstantiated at this time.

It was reported that Staff do not distribute medications as prescribed as it was alleged that on 10/22/2022 and 10/29/2022, there were no supervisors, which resulted in residents receiving their medications late as well as causing Resident #1 (R1) to miss a dose of insulin. Interviews conducted and records reviewed revealed although the Executive Director was not present in the community on those dates, adequately trained personnel and senior staff were on the premises. The Executive Director and Director of Assisted Living were immediately available by phone. Interviews conducted with ten (10) residents revealed that ten (10) out of ten (10) residents interviewed do not recall receiving their medications excessively late during any weekends. Each resident interviewed did not express immediate or potential concerns for experiencing delays in receiving their medication during any day of the week. Records review of (5) randomly chosen Medication Administration Records (MAR) revealed that each resident was administered their medication as prescribed. It was also reported that R1 was not administered Insulin on 10/30/2022. Records review of the MAR of R1 revealed R1 was out of the facility on 10/30/2022. Based on information gathered during the investigation, the department does not have sufficient evidence to determine the above allegation occurred. Therefore the allegation, that staff do not distribute medications as prescribed has been deemed Unsubstantiated at this time.