Complaint Investigation Report

It was reported that resident #1 (R1) had severe fecal impaction and when requested the PRN medication “Bisacodyl” on 08/4/2024 an 08/05/2024, facility staff could not locate the medication. According to reporting party, the “Bisacodyl” was finally located on 08/07/2024. A review of R1’s centrally stored medication records and medication on hand was conducted and found no discrepancies with this PRN medication. There was a supply of this PRN medication from the last refill dated of 4/18/2024 and a new order filled 08/15/2024. During the medications review it was confirmed that staff did have a supply of the “Bisacodyl” on hand in the month of August 2024. R1 reported that it was late in the day when medication was requested on 08/04/2024 and 08/05/2024. R1 could not recall the name of the staff. R1 stated that it was not “Raul the med-tech it was another staff in the med-room”. Staff interviewed denied the allegations. According to staff R1 did not request this specific medication on dates indicated above from the med-techs.

Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Staff mismanages resident's medications and Resident does not receive medication as prescribed” is deemed Unsubstantiated at this time.

Exit interview conducted. A copy of the report was provided.