Complaint Investigation Report

LPA's interview with five (5) residents or more than 15% of current census today between 1:10 PM to 3:00 PM revealed that the food the facility serves is sufficient and they even have a midnight snacks.

Regarding the allegation that the Medications are unlocked and accessible to residents, it was alleged that the medication room/cabinet is unlocked. LPA's observation during today's visit at 12:45 PM and prior visit on 03/01/23 at around 10:00 AM revealed that during both visits, the medication room was locked and requested by the LPA to be opened and on both occasion, the medication cabinet was locked too. During today's visit, LPA observed the nurse giving medication to residents and arranging and organizing the medication room. LPA's interview with the facility Registered Nurse (RN) today also revealed that she was the one in charge of the medication room and medications of all the residents. LPA did not observe any medication outside of the medication cabinet except when the nurse was there distributing medications to residents.

Regarding the allegation that Staff does not follow Medication Administration procedures, it was alleged that the Facility staff does not follow medication administration policies and procedures, LPA's record review on 03/01/23 between 1:00 PM to 2:15 PM revealed that all the medication technicians are properly trained and LPA's interview with the facility nurse today revealed that the nurse conduct regular in service to the medication technician to remind, update and reinforce their knowledge of medication administration. Further interview with the nurse also revealed that she reviews the Medications Administration Records (MARs) whenever she comes to the office to make sure everything is in order.

Based on the information gathered during this and prior visit, the allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.