Complaint Investigation Report

Regarding the allegation that Facility did not ensure that resident received prescribed medication, the following has been concluded:

The facility's nursing staff transitioned to an electronic Medication Administration Records (MAR) system in or around November 2022. Multiple resident records were reviewed for accuracy and completeness during the two visits. Absent documentation observed by LPA during the review of the records initially provided was located by facility staff Tyre Richards and notified to the Med Tech staff involved prior to the conduction of the second visit. All treatments appear to have been administered and documented. Administration information includes the shift during which a medication or treatment was dispensed along with the identity of the med staff member responsible for the act. Regularly scheduled along with random audits are conducted by the facility nurse or by the Assisted Living Program Director to ensure the accuracy of the data. Physician reports and orders appear up-to-date and current at the time of the visit.

Based on interviews conducted, records reviewed and observations conducted during a tour of the memory care unit, the allegation that Facility did not ensure that resident received prescribed medication is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute that the alleged violation did occur.

An exit interview was conducted and a copy of this report was provided to a facility representative.