Complaint Investigation Report

Regarding allegation, "Staff mismanaged resident medication . " It is alleged that a resident fell because she was over medicated by staff who claimed that resident was agitated and combative. Based on the interviews conducted, 7 out of 7 staff interviewed stated that the facility has a Med Tech on duty who prepares the medication for the residents. The Med Tech put the medications in a small cup and passed them on to the residents rooms or in the dining area. During the tour on 2/01/2023 and 2/27/2023, LPA observed that medications are prepared in small pill cups and medications are locked and inaccessible to residents. During LPA's visit on 2/27/2023, LPA also checked a random MAR and checked the medications to verify if they were being given correctly and on schedule. LPA did not find any discrepancies. S5 indicated that the Med Techs on duty including herself, verify the medication and the amount to be taken before dispensing them. 4 out of the 7 staff interviewed stated that the staff only give the medications that are prescribed by the residents' doctors. 8 out of 8 residents interviewed stated that the staff never mismanaged their medications. All interviewed residents stated that they have not been over medicated nor heard or witnessed staff over medicating residents. All residents interviewed know what medications they are taking and have not missed any dosages. Some residents managed their own medication because they are still alert and competent. They also have not heard or seen staff give them or others any medications that are not prescribed by the doctors. Based on statements and interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.

Regarding allegation, Staff did not treat resident with dignity or respect." It is alleged that a staff member was observed to be intimidating the resident behind a table. And while at the facility, the resident told her daughter that the staff were mean to her. 7 out of 7 staff members interviewed stated that they never heard or witnessed any staff intimidated or being mean to residents. S1 stated that the facility has zero tolerance policy with that type of behavior and that personal rights in service training are being conducted to staff members regularly. All 7 staff members interviewed stated that they treat residents with dignity and respect. 6 out of 7 staff members stated that they receive personal rights in service training regularly. LPA attempted to interview a potential witness (W1) to the alleged incident, unfortunately the phone number was no longer in service. 8 out of 8 residents stated that were interviewed stated that staff members treated them with dignity and respect. All residents stated that staff members here are nice and respectful. There was no other witnesses to the alleged incident. Based on statements and interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.