Complaint Investigation Report

The investigation revealed the following:

In regards to the allegation: “Staff did not provide correct medication.” It is alleged that staff do not provide supervision when administrating medication to residents and do not provide the correct medication. No other details provided. The interviewed staff denied the allegation. S1 indicated that Caregivers are not allowed to pass medications because they do not have medication training. Staff members interviewed also indicated that they provide clients with their medications as prescribed following doctors’ orders. Other interviewed staff indicated that they received medication training as part of the educational requirements and get enough training from the Administrator to make sure that they administer the medications to the residents correctly. Interviewed residents stated that the staff never provided them with the incorrect medication. (11) of (11) residents indicated that the staff give them their medication on time and only those prescribed by their doctors. LPA reviewed (5) random residents Medication Administration Records (MARs dated Oct 2023- Dec 2023), their medications including PRNs and observed medications to be documented properly and given as prescribed. Records reviewed did not show any past or current issues regarding medication being given out to the residents incorrectly. Documentation reviewed and interviews conducted with staff and residents do not corroborate this allegation.

In regards to the allegation: “Untrained staff is providing medication to residents.” It is alleged that staff let caregivers administer medications to residents. The interviewed staff denied the allegation. S1 stated that based on their policy, only staff who have medication training are responsible for preparing and administering medications to residents. S1 indicated that none of the caregivers are allowed to pass medications because they do not have medication training. Interviewed staff indicated that only the Nurse and Med Techs are responsible to administer the medications to the residents because they have the required training. LPA reviewed (3) staff training files and their records indicated that they have all been trained in medication management, policy and procedures regarding medication, documentation, side effects and adverse reactions . Interviewed residents stated that either the Nurse or Med Techs provide them with their medications, not the caregivers. LPA did not find additional evidence that residents have been hospitalized or injured because of medication errors. Based on the information obtained, there was not enough supportive evidence to concur with the reported allegation.