Complaint Investigation Report

The investigation consisted of the following:

On 07/30/2025, interviews were conducted, and facility records were gathered. Staff 1 (S1) to Staff 8 (S8) were interviewed. On 08/04/2025, interviews were conducted, and a tour of the facility was conducted. Witness 1 (W1) and Resident 1 (R1) to Resident 11 (R11) were interviewed. A tour of the facility consisted of observation of lunch time. On 08/06/2025, interviews were conducted, a tour of the facility was conducted, and records were reviewed. Interviews conducted consisted of: Resident 12 (R12), Staff 7 (S7), Staff 9 (S9), and Staff 10 (S10). A tour of the facility consisted of the kitchen and activity room. Records reviewed consisted of 9 resident medications along with their Medication Administration Records (MARs). On 08/07/2025, interviews were conducted, and records were reviewed. Witness 2 (W2) to Witness 8 (W8) and Staff 11 (S11) to Staff (12) were interviewed. Resident, staff, and facility records were reviewed.