Complaint Investigation Report

LPA's medication audit of Medication Administration Records (MAR) for eight (8) randomly selected residents indicated that medications for the residents were administered as prescribed at this time. LPA also checked resident medications for expiration dates and instructions and the LPA uncovered minimal discrepancies.The LPA reviewed facility incident reports, and the LPA was unable to uncover incident reports as it related to known medication errors. Interviews with five (5) staff revealed that staff did not recall specific occurrences where medication errors occurred. LPA's Interview with ten (10) residents in care revealed they did not express any concerns as it related to receiving their medications. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “staff mismanaged resident’s medication” is deemed Unsubstantiated at this time.

It was reported that “Staff member yells at resident(s) in care”, as it was alleged that the Executive Director yells at residents and ignores their concerns. Interviews conducted with ten (10) residents revealed that nine (9) out of (10) residents interviewed have never observed the Executive Director to speak inappropriately to any resident or ignore their concerns . One (1) resident stated they have heard the Executive Director raise their voice attempting to redirect a resident who was yelling at the Executive Director. LPA’s interview with eight (8) staff revealed that each staff have not witnessed any staff yell at any resident or ignore any concerns of the residents in care. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation “Staff member yells at resident(s) in care” is deemed Unsubstantiated at this time.

It was reported that "Staff do not ensure that facility is clean" as it was alleged that the facility is roach infested, unkept and there is a bad smell throughout the hallways. Interviews conducted with ten (10) residents revealed that all (10) have not observed roaches in the facility , have never observed a foul order in the facility and have observed dedicated housekeeping staff cleaning throughout the day.