Complaint Investigation Report

The licensee informed the LPA that she would disconnect the telephone line from the facility fax to ensure that they have telephone services at all times. On 12/3/2021 LPA spoke with the licensee regarding her pending plan of corrections. During that phone call LPA was informed that the licensee was continuing to use the phone number for the fax. on 12/6/2021 at 2:05 pm LPA called the facility phone number, which kept ringing. LPA called again at 2:07 pm at which time the fax line was connected. On 1/18/2022 at 3:30 pm LPA called the facility phone number which kept ringing until the fax line was connected. Based on the interviews conducted and attempted phone calls made to the facility the department has obtained sufficient information to determine that the facility Staff are restricting resident from having phone calls therefore the allegation is Substantiated.

Regarding the allegation of Staff are mismanaging resident's medication it was reported that the licensee and staff are not ensuring residents medications are given as prescribed. An initial 10 day complaint visit was conducted on 11/17/2021 at which time LPA observed and documented as Licensee I rina Karbachinskiy counted medications for 2 residents. .Review of the medication records, and medication count revealed that

Licensee and/or staff mismanaged 6 or R1's medications by not ensuring they were given according to the physicians order. Review of the medications revealed that licensee had extra medications for 5 of the 6 medications and the 6 th medication Divalproex had run out without being refilled or discontinued by the physician. Licensee and/or staff also mismanaged medications for R2 by not ensuring that 4 medications were given according to the physicians order therefore the allegation is Substantiated.

Exit interview conducted, copy of report, citations, civil penalties and appeal rights issued and emailed to the licensee.