Complaint Investigation Report

LPA Smith reviewed the bulk bottles which have an expiration date of 02/2027.

Based interview, observation, and review of records although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Facility is not following residents IPP Plans

Interview with administrator on 09/11/2023 revealed that two (2) out of (2) residents have IPPs, and he ensure that all staff are following the plans. Administrator revealed the IPPs do not include a breakdown or information about consults with Dietician, Registered Nurse, Recreational therapy and or Psychiatric pharmacotherapy hours. LPA Smith reviewed the IPP for two (2) out of two (2) residents and each plan did not mention consultation hours with Dietician, Registered Nurse, Recreational therapy and or Psychiatric pharmacotherapy.

Based interview and record review, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.