Complaint Investigation Report

The details of the complaint alleged that staff did not provide copies of resident records to their representative.

During the records review, LPA inspected: R#1 Power of Attorney notarized and signed on 2/16/2018. The POA states that RP may request information, records, or other documents regarding R#1’s physical. Mental or emotional health, including but not limited to medical and hospital records and other protected health information as defined by HIPPA. (Health Insurance Portability and Accountability Act). LPA also review R#1’s updated list of home medications at discharge from hospital from 9/11/23. In addition, LPA reviewed (W#1) new medication order with new times.

During an interview with Administrator Designee, (A#1) stated that on 9/14/23 around 9:30 AM, she received a call from one of the facility staff; staff told her that one of the family members (RP) was at the facility yelling and cursing in front of the residents saying, 'they give the wrong medication to (R#1) at the wrong time'. I told the staff I would be coming over to explain (RP) the medications. Then, I arrived at the facility and asked (RP) what they needed. (RP) stated, 'This is about your stupid medication record and your staff performance; I want a specific medication to be given at 6:30 AM, 11:00 AM, and 4:00 PM, and you are not changing the time'. I explained to RP that we were following the doctor's orders from the hospital discharge papers that said AM and PM. LPA asked (A#1) how you determined the time to give the medications when only the order said AM and PM? (A#1) stated that she is a licensed vocational nurse (LVN), and AM and PM mean 8 hours apart to give the medication. (A#1) told (RP) that if they want to provide the medications to (R#1) at the times they want, they need to ask for a doctor's order to change the medication times. (RP) asked (A#1), "You better tell Dr. Butlig to come here and change the medication order now." (A#1) told (RP) that she would call the doctor and tell him about your request. On 9/15/23, a Nurse Practitioner from Dr. Butlig's office (W#1) came to the facility and changed the medication order to the times (RP) wanted. (A#1) stated that at any moment, I did not deny copies of the medication records to (RP); I even let them take a picture of the medication records.