Complaint Investigation Report

During the interview and observation of R1, LPA did not observe any immediate health or safety concerns.

LPA reviewed facility records, including an Unusual Incident Report (UIR) submitted by the facility to the Department. The UIR documented that R1 was observed to be lethargic and pale. Facility staff contacted 911, and responding paramedics evaluated R1. R1 was subsequently transported by ambulance to the emergency room for further medical evaluation and treatment.

LPA also reviewed R1’s Medication Administration Record (MAR). The MAR documented that facility staff administered R1’s medications as prescribed by the physician. LPA did not identify any documentation indicating that R1 received an excessive dosage or that facility staff administered medication contrary to the physician’s orders.

LPA attempted to contact the reporting party on May 7, 2026, using the contact information provided in the complaint. LPA was unsuccessful and was informed that no individual matched the name provided. LPA made an additional contact attempt on July 10, 2026, and was again informed that no individual matched the name provided. Therefore, LPA was unable to obtain an additional statement from the reporting party.

Based on the interviews conducted, observations made, and records reviewed, there was insufficient evidence to establish that facility staff overmedicated R1. Although the allegation may have occurred or may be valid, there was not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation that “Resident was overmedicated” is Unsubstantiated.