Complaint Investigation Report

Based on interviews and documents obtained, staff confirmed that hand-over-hand and live pouring the medications is the preferred process. Staff are also providing residents with a water cup and water dispenser while administering medications. During the visit on 04/18/2025 LPA observed med tech (S5) administer mediation to several residents using the live pour method. The facility also uses a 3 rd party business to discard expired and unusable medication. The facility provided a copy of their bill which included the charge for discarding medication on 11/07/2024 and 03/07/2025. Through interviews with staff, all confirmed that if the resident is on hospice, that agency will dispose of their medications. If the resident is not on hospice, they will need multiple eyewitnesses and to sign off on the disposal. Based on interviews and records reviewed there is insufficient evidence to prove that facility staff is not properly administering medication to residents as prescribed causing residents to go to the ER due to lack of care.

Based on information obtained during the investigation, LPA finds the allegations to be UNSUBSTANTIATED - a finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.