Complaint Investigation Report

Upon review of R1’s documents from the pain management clinic, LPA learned that R1’s cheek swab tested as ‘inconclusive’ as to the presence of opioids. R1’s documents reveal the presence of opioids upon further testing. Additionally, notes from the treating physician stated that R1 vocalized that they experienced pain relief from the prescribed opioids.

LPA reviewed emails between the Administrator and R1’s POA which took place between April 16 and April 28, 2023. In these emails, both the POA and Administrator acknowledge that R1 was able to keep their evening scheduled pills in their room and take at their leisure. Additionally, the emails reveal that staff observed R1 to be storing some pills (10 pills) in their room to take at a future date. All interviews acknowledge that staff manage medication for all residents at the facility.

Additionally, when LPA was conducting the initial 10-day complaint visit at the facility, all residents were interviewed regarding the allegations and their time at the facility. While interviewing R3, LPA noticed that their pills were in a cup beside their recliner in their apartment. There was no staff present in the room with R3.

Based on the information detailed above, LPA finds the allegation to be substantiated. A finding that the allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies cited on 9099-D. Appeal rights were printed and given.

Exit interview conducted. A copy of this report was left at the facility.